Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,104.00 / $13,884.74	Facility		$1,925.00	$5,104.00	$13,884.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.03 / $1,521.69 / $3,261.67	Professional		$1,251.03	$1,521.69	$3,261.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $2,403.61 / $2,417.27	Professional		$326.89	$2,403.61	$2,417.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $7,532.09 / $21,112.96	Facility		$2,226.13	$7,532.09	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,365.69 / $1,980.25 / $3,547.65	Professional		$1,365.69	$1,980.25	$3,547.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,396.39 / $2,876.75 / $3,913.22	Facility		$2,396.39	$2,876.75	$3,913.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $15,136.00	Facility		$1,554.52	$1,554.52	$15,136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.61 / $2,161.60 / $3,540.70	Professional		$1,423.61	$2,161.60	$3,540.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,502.26 / $1,966.70 / $3,385.30	Professional		$1,502.26	$1,966.70	$3,385.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,413.35 / $2,437.27 / $2,458.23	Professional		$2,413.35	$2,437.27	$2,458.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.92 / $1,889.79 / $3,097.93	Professional		$1,216.92	$1,889.79	$3,097.93