Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.80 / $5,063.00 / $7,421.00	Facility		$1,214.80	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.03 / $849.63 / $1,736.61	Professional		$708.03	$849.63	$1,736.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,157.20 / $1,157.20 / $1,157.20	Professional		$1,157.20	$1,157.20	$1,157.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.95 / $1,125.56 / $2,042.77	Professional		$770.95	$1,125.56	$2,042.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,376.04 / $1,658.60 / $2,256.17	Facility		$1,376.04	$1,658.60	$2,256.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.11 / $896.11 / $2,172.58	Facility		$896.11	$896.11	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.06 / $1,241.08 / $2,038.77	Professional		$809.06	$1,241.08	$2,038.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.13 / $1,329.36 / $1,951.81	Professional		$866.13	$1,329.36	$1,951.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.03 / $1,358.05 / $1,417.31	Professional		$1,208.03	$1,358.05	$1,417.31
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 $694.82 / $1,050.23 / $1,783.82	Professional		$694.82	$1,050.23	$1,783.82