Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $10,897.00	Facility		$1,791.00	$5,063.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.79 / $1,788.83 / $3,606.13	Professional		$1,481.79	$1,788.83	$3,606.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,895.21 / $2,895.21 / $2,895.21	Professional		$2,895.21	$2,895.21	$2,895.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $6,782.54 / $21,112.96	Facility		$2,206.31	$6,782.54	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,635.71 / $2,394.36 / $4,249.79	Professional		$1,635.71	$2,394.36	$4,249.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,876.85 / $3,445.55 / $4,686.95	Facility		$2,876.85	$3,445.55	$4,686.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $10,000.00	Facility		$1,865.42	$1,865.42	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.52 / $2,600.36 / $4,241.46	Professional		$1,717.52	$2,600.36	$4,241.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,799.28 / $2,358.65 / $4,054.64	Professional		$1,799.28	$2,358.65	$4,054.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,890.99 / $2,919.15 / $2,944.28	Professional		$2,890.99	$2,919.15	$2,944.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.25 / $2,250.19 / $3,711.06	Professional		$1,463.25	$2,250.19	$3,711.06