Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.74 / $5,063.00 / $6,915.00	Facility		$1,727.74	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.48 / $1,327.40 / $2,598.30	Professional		$1,084.48	$1,327.40	$2,598.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.73 / $2,328.90 / $2,328.90	Professional		$316.73	$2,328.90	$2,328.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.90 / $1,732.34 / $3,168.55	Professional		$1,195.90	$1,732.34	$3,168.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,138.33 / $2,568.42 / $3,493.82	Facility		$2,138.33	$2,568.42	$3,493.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $6,122.06	Facility		$1,387.75	$1,387.75	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.36 / $1,930.64 / $3,162.32	Professional		$1,227.36	$1,930.64	$3,162.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.25 / $1,950.91 / $4,654.93	Professional		$1,341.25	$1,950.91	$4,654.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.16 / $2,053.25 / $8,832.94	Professional		$1,218.16	$2,053.25	$8,832.94
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 $1,036.44 / $1,595.29 / $2,766.89	Professional		$1,036.44	$1,595.29	$2,766.89