Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.39 / $1,852.39 / $2,963.82	Facility		$1,852.39	$1,852.39	$2,963.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.39 / $2,372.98 / $2,963.82	Professional		$1,852.39	$2,372.98	$2,963.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,766.27 / $1,766.27 / $1,766.27	Professional		$1,766.27	$1,766.27	$1,766.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.72 / $6,225.42 / $16,319.50	Facility		$4,446.72	$6,225.42	$16,319.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,440.28 / $3,697.39 / $7,098.99	Professional		$2,440.28	$3,697.39	$7,098.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,669.25 / $3,779.72 / $8,226.45	Facility		$3,669.25	$3,779.72	$8,226.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,779.72 / $3,779.72 / $3,779.72	Professional		$3,779.72	$3,779.72	$3,779.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $5,279.17	Professional		$2,234.23	$2,234.23	$5,279.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,446.72 / $4,446.72 / $6,177.71	Professional		$4,446.72	$4,446.72	$6,177.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,652.08 / $2,218.42 / $3,660.01	Professional		$1,652.08	$2,218.42	$3,660.01