Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.94 / $1,411.94 / $3,999.50	Facility		$1,411.94	$1,411.94	$3,999.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.94 / $2,004.95 / $2,259.10	Professional		$1,411.94	$2,004.95	$2,259.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,508.16 / $2,508.16 / $2,542.06	Professional		$2,508.16	$2,508.16	$2,542.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,389.41 / $4,745.17 / $12,439.13	Facility		$3,389.41	$4,745.17	$12,439.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,807.00 / $2,818.23 / $5,411.00	Professional		$1,807.00	$2,818.23	$5,411.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,881.00 / $3,023.74 / $6,270.41	Facility		$2,881.00	$3,023.74	$6,270.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,881.00 / $2,881.00 / $2,881.00	Professional		$2,881.00	$2,881.00	$2,881.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,529.17	Professional		$1,546.07	$1,546.07	$4,529.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,575.94 / $3,389.41 / $4,709.27	Professional		$2,575.94	$3,389.41	$4,709.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.99 / $1,690.94 / $2,789.74	Professional		$1,323.99	$1,690.94	$2,789.74