Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.56 / $5,063.00 / $6,915.00	Facility		$1,826.56	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.07 / $1,144.20 / $2,536.66	Professional		$885.07	$1,144.20	$2,536.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,282.81 / $1,430.83 / $1,430.83	Professional		$1,282.81	$1,430.83	$1,430.83
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 $1,028.59 / $1,491.47 / $2,656.67	Professional		$1,028.59	$1,491.47	$2,656.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,796.37 / $2,139.71 / $2,947.34	Facility		$1,796.37	$2,139.71	$2,947.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.78 / $1,179.78 / $2,225.00	Facility		$1,179.78	$1,179.78	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.15 / $1,641.67 / $2,657.42	Professional		$1,060.15	$1,641.67	$2,657.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.46 / $1,678.46 / $5,669.00	Professional		$1,131.46	$1,678.46	$5,669.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $925.74 / $1,719.88 / $1,851.48	Professional		$925.74	$1,719.88	$1,851.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.97 / $1,402.50 / $2,325.12	Professional		$895.97	$1,402.50	$2,325.12