Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.35 / $6,726.00 / $10,417.00	Facility		$1,600.35	$6,726.00	$10,417.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.18 / $1,203.47 / $2,478.98	Professional		$985.18	$1,203.47	$2,478.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,046.73 / $1,577.22 / $2,227.69	Professional		$1,046.73	$1,577.22	$2,227.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.01 / $1,575.54 / $2,867.48	Professional		$1,077.01	$1,575.54	$2,867.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,929.27 / $2,325.60 / $3,163.50	Facility		$1,929.27	$2,325.60	$3,163.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,256.56 / $6,333.77	Facility		$1,000.00	$1,256.56	$6,333.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.09 / $1,732.09 / $2,849.80	Professional		$1,127.09	$1,732.09	$2,849.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.44 / $1,851.32 / $2,897.05	Professional		$1,214.44	$1,851.32	$2,897.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.12 / $1,737.42 / $1,970.31	Professional		$1,646.12	$1,737.42	$1,970.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.45 / $1,479.35 / $2,503.98	Professional		$968.45	$1,479.35	$2,503.98