Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.38 / $1,837.38 / $5,204.63	Facility		$1,837.38	$1,837.38	$5,204.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,837.38 / $2,353.73 / $2,939.80	Professional		$1,837.38	$2,353.73	$2,939.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,751.96 / $3,263.92 / $3,263.92	Professional		$1,751.96	$3,263.92	$3,263.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,410.70 / $6,174.98 / $16,187.27	Facility		$4,410.70	$6,174.98	$16,187.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,371.39 / $3,667.42 / $7,041.45	Professional		$2,371.39	$3,667.42	$7,041.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,639.50 / $3,749.10 / $8,159.80	Facility		$3,639.50	$3,749.10	$8,159.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,749.10 / $3,749.10 / $3,749.10	Professional		$3,749.10	$3,749.10	$3,749.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $5,085.75	Professional		$1,787.62	$2,448.80	$5,085.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,352.13 / $4,410.70 / $6,127.84	Professional		$3,352.13	$4,410.70	$6,127.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.97 / $2,200.44 / $3,630.35	Professional		$1,466.97	$2,200.44	$3,630.35