Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.27 / $906.27 / $4,414.03	Facility		$906.27	$906.27	$4,414.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.27 / $1,091.54 / $1,450.03	Professional		$906.27	$1,091.54	$1,450.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,609.90 / $1,609.90 / $1,631.66	Professional		$1,609.90	$1,609.90	$1,631.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.54 / $3,045.76 / $7,984.23	Facility		$2,175.54	$3,045.76	$7,984.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.66 / $1,808.92 / $3,505.51	Professional		$1,169.66	$1,808.92	$3,505.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,849.21 / $4,024.75	Facility		$1,795.12	$1,849.21	$4,024.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,849.21 / $1,849.21 / $1,849.21	Professional		$1,849.21	$1,849.21	$1,849.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $2,508.38	Professional		$881.72	$1,207.83	$2,508.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,653.41 / $2,175.54 / $3,022.97	Professional		$1,653.41	$2,175.54	$3,022.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $1,085.34 / $1,790.62	Professional		$723.57	$1,085.34	$1,790.62