Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $9,549.93	Facility		$2,290.87	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,884.03	Professional		$1,412.54	$1,698.24	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,801.89 / $10,000.00	Facility		$1,047.13	$3,801.89	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,715.35	Professional		$1,412.54	$2,344.23	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,467.37	Professional		$1,380.38	$2,041.74	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,801.89	Professional		$1,479.11	$1,905.46	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,019.95 / $3,801.89	Professional		$15.14	$3,019.95	$3,801.89
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 $1,380.38 / $1,862.09 / $3,311.31	Professional		$1,380.38	$1,862.09	$3,311.31