Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $9,549.93	Facility		$3,890.45	$6,606.93	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,258.93	Professional		$616.60	$724.44	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $891.25	Professional		$870.96	$870.96	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $8,511.38	Facility		$933.25	$3,630.78	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,698.24	Professional		$660.69	$1,202.26	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,467.37 / $9,772.37	Facility		$588.84	$3,467.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Professional		$630.96	$933.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,398.83	Professional		$660.69	$870.96	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,258.93 / $1,698.24	Professional		$7.08	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $15,848.93	Facility		$870.96	$6,309.57	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,479.11	Professional		$630.96	$851.14	$1,479.11