Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,376.00 / $12,962.00	Facility		$1,925.00	$5,376.00	$12,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.36 / $1,348.53 / $2,955.34	Professional		$1,101.36	$1,348.53	$2,955.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,160.09 / $1,740.15 / $2,331.88	Professional		$1,160.09	$1,740.15	$2,331.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.71 / $5,990.73 / $14,877.94	Facility		$1,260.71	$5,990.73	$14,877.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.88 / $1,753.69 / $3,172.88	Professional		$1,220.88	$1,753.69	$3,172.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,138.23 / $2,571.71 / $3,498.30	Facility		$2,138.23	$2,571.71	$3,498.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $6,918.00 / $11,664.46	Facility		$1,388.99	$6,918.00	$11,664.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.88 / $1,939.49 / $3,126.99	Professional		$1,263.88	$1,939.49	$3,126.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.97 / $1,953.41 / $3,632.00	Professional		$1,342.97	$1,953.41	$3,632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.10 / $1,876.33 / $2,392.83	Professional		$1,218.10	$1,876.33	$2,392.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $10,955.00 / $18,613.00	Facility		$2,725.00	$10,955.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.48 / $1,640.78 / $2,770.66	Professional		$1,083.48	$1,640.78	$2,770.66