Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.12 / $4,829.00 / $6,915.00	Facility		$1,605.12	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.87 / $1,081.14 / $2,107.30	Professional		$898.87	$1,081.14	$2,107.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.86 / $922.86 / $922.86	Professional		$922.86	$922.86	$922.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.92 / $1,506.86 / $2,641.55	Professional		$997.92	$1,506.86	$2,641.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,742.10 / $2,094.11 / $2,848.59	Facility		$1,742.10	$2,094.11	$2,848.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,130.83 / $13,021.89	Facility		$1,130.83	$1,130.83	$13,021.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.40 / $1,588.53 / $2,552.56	Professional		$1,066.40	$1,588.53	$2,552.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.55 / $1,680.10 / $2,464.30	Professional		$1,093.55	$1,680.10	$2,464.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,526.82 / $1,716.42 / $1,789.46	Professional		$1,526.82	$1,716.42	$1,789.46
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 $889.43 / $1,484.01 / $2,402.10	Professional		$889.43	$1,484.01	$2,402.10