Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,637.28 / $3,637.28 / $10,303.10	Facility		$3,637.28	$3,637.28	$10,303.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,637.28 / $4,380.96 / $5,819.65	Professional		$3,637.28	$4,380.96	$5,819.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,461.27 / $6,461.27 / $12,466.08	Professional		$6,461.27	$6,461.27	$12,466.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,731.44 / $12,224.02 / $32,044.38	Facility		$8,731.44	$12,224.02	$32,044.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,659.49 / $7,260.04 / $13,939.28	Professional		$4,659.49	$7,260.04	$13,939.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,204.76 / $7,421.72 / $16,153.16	Facility		$7,204.76	$7,421.72	$16,153.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,421.72 / $7,421.72 / $7,421.72	Professional		$7,421.72	$7,421.72	$7,421.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $5,497.14 / $10,068.00	Professional		$4,410.66	$5,497.14	$10,068.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,635.89 / $8,731.44 / $12,130.74	Professional		$6,635.89	$8,731.44	$12,130.74
United Facility/Professional Professional Modifier Low / Median / High Price $3,030.47 / $4,356.02 / $7,186.67	Professional		$3,030.47	$4,356.02	$7,186.67