Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $10,715.19	Facility		$3,630.78	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $7,413.10	Professional		$3,630.78	$4,265.80	$7,413.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $11,481.54	Professional		$6,456.54	$6,456.54	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $21,379.62 / $32,359.37	Facility		$8,912.51	$21,379.62	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,244.36 / $10,964.78	Professional		$4,677.35	$7,244.36	$10,964.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $13,803.84	Facility		$6,025.60	$6,025.60	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $10,000.00	Professional		$4,365.16	$4,365.16	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,912.51 / $12,022.64	Professional		$5,754.40	$8,912.51	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,888.44 / $6,165.95	Facility		$2,951.21	$5,888.44	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $7,585.78	Professional		$2,884.03	$4,365.16	$7,585.78