Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.03 / $5,206.00 / $9,556.20	Facility		$1,167.03	$5,206.00	$9,556.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.31 / $4,833.57 / $12,219.00	Professional		$508.31	$4,833.57	$12,219.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,963.66 / $6,963.66 / $6,963.66	Professional		$6,963.66	$6,963.66	$6,963.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $6,335.82 / $12,326.53	Facility		$2,206.31	$6,335.82	$12,326.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $790.83 / $1,598.91	Professional		$504.39	$790.83	$1,598.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,159.94 / $11,159.94 / $11,159.94	Facility		$11,159.94	$11,159.94	$11,159.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $4,830.16	Facility		$862.72	$862.72	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.85 / $1,470.63 / $14,149.61	Professional		$643.85	$1,470.63	$14,149.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.24 / $5,718.25 / $29,755.00	Professional		$574.24	$5,718.25	$29,755.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $766.26 / $923.78 / $10,914.87	Professional		$766.26	$923.78	$10,914.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,802.40 / $9,951.32 / $14,126.93	Professional		$5,802.40	$9,951.32	$14,126.93