Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,137.77 / $12,137.77 / $34,381.90	Facility		$12,137.77	$12,137.77	$34,381.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,137.77 / $14,619.40 / $19,420.41	Professional		$12,137.77	$14,619.40	$19,420.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21,561.54 / $21,561.54 / $21,852.92	Professional		$21,561.54	$21,561.54	$21,852.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,137.22 / $40,792.11 / $106,933.60	Facility		$29,137.22	$40,792.11	$106,933.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15,766.05 / $24,227.08 / $46,515.99	Professional		$15,766.05	$24,227.08	$46,515.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24,042.69 / $24,766.64 / $53,903.86	Facility		$24,042.69	$24,766.64	$53,903.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24,766.64 / $24,766.64 / $24,766.64	Professional		$24,766.64	$24,766.64	$24,766.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $16,200.25	Facility		$16,200.25	$16,200.25	$16,200.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $11,826.18 / $33,597.00	Professional		$11,826.18	$11,826.18	$33,597.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22,144.29 / $29,137.22 / $56,276.00	Professional		$22,144.29	$29,137.22	$56,276.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,690.83 / $14,536.25 / $25,211.53	Professional		$9,690.83	$14,536.25	$25,211.53