Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.79 / $5,063.00 / $6,915.00	Facility		$1,595.79	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.81 / $1,214.11 / $2,646.31	Professional		$993.81	$1,214.11	$2,646.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,342.43 / $1,342.43 / $1,342.43	Professional		$1,342.43	$1,342.43	$1,342.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.76 / $1,566.21 / $2,867.48	Professional		$1,096.76	$1,566.21	$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 / $9,125.94	Facility		$1,000.00	$1,256.56	$9,125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.09 / $1,755.15 / $2,861.84	Professional		$1,127.09	$1,755.15	$2,861.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.44 / $1,863.59 / $2,897.05	Professional		$1,214.44	$1,863.59	$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 $974.58 / $1,457.25 / $2,503.98	Professional		$974.58	$1,457.25	$2,503.98