Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,370.32	Facility		$1,819.70	$1,819.70	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,715.35	Professional		$1,819.70	$2,187.76	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $8,511.38	Professional		$2,454.71	$3,311.31	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $16,595.87	Facility		$4,466.84	$10,715.19	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $5,495.41	Professional		$2,398.83	$3,630.78	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $7,079.46	Facility		$2,454.71	$2,454.71	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,128.61	Professional		$1,778.28	$1,778.28	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,165.95	Professional		$2,951.21	$4,466.84	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $3,090.30	Facility		$1,513.56	$2,951.21	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,801.89	Professional		$1,479.11	$2,187.76	$3,801.89