Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.96 / $5,045.00 / $6,915.00	Facility		$1,784.96	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.23 / $1,452.37 / $2,981.41	Professional		$1,145.23	$1,452.37	$2,981.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,551.27 / $2,551.27 / $2,551.27	Professional		$2,551.27	$2,551.27	$2,551.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.70 / $1,857.50 / $3,283.97	Professional		$1,262.70	$1,857.50	$3,283.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,219.33 / $2,610.98 / $3,618.14	Facility		$2,219.33	$2,610.98	$3,618.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,440.74 / $2,500.00	Facility		$500.00	$1,440.74	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.08 / $2,011.90 / $3,257.55	Professional		$1,337.08	$2,011.90	$3,257.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,388.97 / $1,997.95 / $3,247.96	Professional		$1,388.97	$1,997.95	$3,247.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.81 / $2,183.19 / $2,335.98	Professional		$1,830.81	$2,183.19	$2,335.98
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 $1,129.19 / $1,726.57 / $2,867.67	Professional		$1,129.19	$1,726.57	$2,867.67