Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.62 / $5,670.50 / $12,103.33	Facility		$1,718.62	$5,670.50	$12,103.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.57 / $1,399.34 / $3,250.34	Professional		$304.57	$1,399.34	$3,250.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $263.93 / $2,866.20	Professional		$251.62	$263.93	$2,866.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,610.60 / $10,832.53	Facility		$1,860.62	$5,610.60	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $1,081.33 / $2,777.01	Professional		$381.55	$1,081.33	$2,777.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.77 / $602.09 / $704.60	Facility		$511.77	$602.09	$704.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,635.00 / $15,635.00 / $15,635.00	Facility		$15,635.00	$15,635.00	$15,635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $994.96 / $3,504.54	Professional		$384.00	$994.96	$3,504.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $1,365.28 / $4,148.00	Professional		$341.18	$1,365.28	$4,148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $326.97 / $1,293.86 / $2,459.39	Professional		$326.97	$1,293.86	$2,459.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,546.60 / $2,214.98 / $3,547.82	Professional		$1,546.60	$2,214.98	$3,547.82