Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.01 / $4,829.00 / $6,915.00	Facility		$1,715.01	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.27 / $1,272.58 / $2,386.65	Professional		$1,050.27	$1,272.58	$2,386.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,387.40 / $1,387.40 / $1,387.40	Professional		$1,387.40	$1,387.40	$1,387.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.80 / $1,684.71 / $3,051.33	Professional		$1,147.80	$1,684.71	$3,051.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,842.52 / $1,842.52 / $1,842.52	Facility		$1,842.52	$1,842.52	$1,842.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,330.96 / $2,172.58	Facility		$1,200.00	$1,330.96	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.58 / $1,794.95 / $3,030.03	Professional		$1,201.58	$1,794.95	$3,030.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.11 / $1,835.00 / $2,886.98	Professional		$1,281.11	$1,835.00	$2,886.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.85 / $2,038.14 / $2,127.63	Professional		$1,816.85	$2,038.14	$2,127.63
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 $1,055.09 / $1,671.78 / $2,898.93	Professional		$1,055.09	$1,671.78	$2,898.93