Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.63 / $1,497.63 / $4,511.42	Facility		$1,497.63	$1,497.63	$4,511.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.63 / $2,077.98 / $2,554.94	Professional		$1,497.63	$2,077.98	$2,554.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,856.39 / $2,660.39 / $2,696.34	Professional		$1,856.39	$2,660.39	$2,696.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,595.12 / $5,033.17 / $13,194.09	Facility		$3,595.12	$5,033.17	$13,194.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,916.66 / $2,989.27 / $5,739.40	Professional		$1,916.66	$2,989.27	$5,739.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,055.85 / $3,501.34 / $6,650.97	Facility		$3,055.85	$3,501.34	$6,650.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,055.85 / $3,055.85 / $3,055.85	Professional		$3,055.85	$3,055.85	$3,055.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,619.22	Professional		$1,576.85	$2,160.07	$4,619.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,732.29 / $3,595.12 / $4,994.83	Professional		$2,732.29	$3,595.12	$4,994.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.36 / $1,793.56 / $2,959.05	Professional		$1,350.36	$1,793.56	$2,959.05