Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $5,495.41	Facility		$1,862.09	$1,862.09	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $4,073.80	Professional		$1,862.09	$2,344.23	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $16,595.87	Facility		$4,570.88	$10,715.19	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $6,025.60	Professional		$2,398.83	$3,715.35	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $7,943.28	Facility		$2,754.23	$2,754.23	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $5,370.32	Professional		$2,041.74	$2,041.74	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,165.95	Professional		$3,162.28	$4,570.88	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $3,548.13	Facility		$1,698.24	$3,090.30	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $4,365.16	Professional		$1,479.11	$2,238.72	$4,365.16