Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.81 / $1,853.81 / $5,251.18	Facility		$1,853.81	$1,853.81	$5,251.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,853.81 / $2,618.94 / $3,162.05	Professional		$1,853.81	$2,618.94	$3,162.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,337.61 / $3,337.61 / $3,337.61	Professional		$3,337.61	$3,337.61	$3,337.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,450.14 / $6,230.21 / $16,332.05	Facility		$4,450.14	$6,230.21	$16,332.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,372.52 / $3,700.21 / $7,104.40	Professional		$2,372.52	$3,700.21	$7,104.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,782.63 / $4,450.14 / $8,722.29	Facility		$3,782.63	$4,450.14	$8,722.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,782.63 / $3,782.63 / $3,782.63	Professional		$3,782.63	$3,782.63	$3,782.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $5,316.38	Professional		$2,029.93	$2,780.72	$5,316.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,382.11 / $4,450.14 / $6,182.76	Professional		$3,382.11	$4,450.14	$6,182.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.11 / $2,220.13 / $3,662.82	Professional		$1,850.11	$2,220.13	$3,662.82