Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.07 / $1,010.07 / $2,861.15	Facility		$1,010.07	$1,010.07	$2,861.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.07 / $1,216.58 / $1,616.10	Professional		$1,010.07	$1,216.58	$1,616.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,794.28 / $1,794.28 / $1,794.28	Professional		$1,794.28	$1,794.28	$1,794.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.69 / $3,394.58 / $8,898.65	Facility		$2,424.69	$3,394.58	$8,898.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.51 / $2,016.10 / $3,870.91	Professional		$1,300.51	$2,016.10	$3,870.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.78 / $2,061.00 / $4,485.70	Facility		$2,000.78	$2,061.00	$4,485.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,061.00 / $2,061.00 / $2,061.00	Professional		$2,061.00	$2,061.00	$2,061.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $2,796.00	Professional		$982.72	$1,346.19	$2,796.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,842.77 / $2,424.69 / $3,368.70	Professional		$1,842.77	$2,424.69	$3,368.70
United Facility/Professional Professional Modifier Low / Median / High Price $841.56 / $1,209.66 / $2,098.03	Professional		$841.56	$1,209.66	$2,098.03