Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.66 / $5,063.00 / $6,915.00	Facility		$2,727.66	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.91 / $2,873.70 / $5,839.83	Professional		$2,328.91	$2,873.70	$5,839.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,558.58 / $2,558.58 / $2,558.58	Professional		$2,558.58	$2,558.58	$2,558.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,508.98 / $3,923.94 / $7,289.69	Professional		$2,508.98	$3,923.94	$7,289.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,287.09 / $5,043.63 / $5,859.29	Facility		$4,287.09	$5,043.63	$5,859.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,831.39 / $4,233.49 / $6,856.66	Professional		$2,831.39	$4,233.49	$6,856.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,600.81 / $3,310.12 / $8,016.06	Professional		$2,600.81	$3,310.12	$8,016.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,598.75 / $4,374.08 / $10,654.44	Professional		$3,598.75	$4,374.08	$10,654.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,563.17 / $3,711.52 / $7,559.07	Professional		$2,563.17	$3,711.52	$7,559.07