Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.58 / $5,367.00 / $10,897.00	Facility		$1,723.58	$5,367.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.85 / $1,089.53 / $2,171.02	Professional		$893.85	$1,089.53	$2,171.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $942.04 / $942.04 / $942.04	Professional		$942.04	$942.04	$942.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $5,990.73 / $14,877.94	Facility		$1,406.20	$5,990.73	$14,877.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.68 / $1,443.17 / $2,570.86	Professional		$993.68	$1,443.17	$2,570.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,736.31 / $2,086.64 / $2,838.44	Facility		$1,736.31	$2,086.64	$2,838.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $6,918.00 / $14,913.18	Facility		$1,126.75	$6,918.00	$14,913.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.41 / $1,571.69 / $2,538.87	Professional		$1,038.41	$1,571.69	$2,538.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.66 / $1,567.00 / $2,455.51	Professional		$1,089.66	$1,567.00	$2,455.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.86 / $1,646.31 / $1,783.07	Professional		$1,318.86	$1,646.31	$1,783.07
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 $877.34 / $1,438.36 / $2,244.96	Professional		$877.34	$1,438.36	$2,244.96