Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,368.00 / $6,915.00	Facility		$1,194.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.78 / $809.45 / $1,580.83	Professional		$674.78	$809.45	$1,580.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,513.03 / $1,513.03 / $1,513.03	Professional		$1,513.03	$1,513.03	$1,513.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.70 / $1,095.44 / $1,947.54	Professional		$750.70	$1,095.44	$1,947.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,310.96 / $1,581.30 / $2,151.05	Facility		$1,310.96	$1,581.30	$2,151.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $4,830.16	Facility		$854.45	$854.45	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.70 / $1,178.98 / $1,912.52	Professional		$793.70	$1,178.98	$1,912.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.77 / $1,267.66 / $1,860.86	Professional		$825.77	$1,267.66	$1,860.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.35 / $1,209.14 / $1,388.80	Professional		$1,163.35	$1,209.14	$1,388.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.68 / $1,012.55 / $1,700.65	Professional		$661.68	$1,012.55	$1,700.65