Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $12,022.64	Facility		$4,073.80	$4,073.80	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $8,511.38	Professional		$4,073.80	$5,011.87	$8,511.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,025.60	Professional		$5,754.40	$5,754.40	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $23,988.33 / $37,153.52	Facility		$10,000.00	$23,988.33	$37,153.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,128.31 / $12,589.25	Professional		$5,495.41	$8,128.31	$12,589.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $14,791.08	Facility		$7,943.28	$7,943.28	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $11,748.98	Professional		$6,760.83	$6,760.83	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $16,595.87	Professional		$6,606.93	$10,000.00	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,760.83 / $7,079.46	Facility		$3,467.37	$6,760.83	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $8,709.64	Professional		$3,311.31	$4,897.79	$8,709.64