Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.33 / $5,045.00 / $6,915.00	Facility		$1,441.33	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.41 / $1,603.70 / $2,956.22	Professional		$1,340.41	$1,603.70	$2,956.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8,263.86 / $8,263.86 / $8,263.86	Professional		$8,263.86	$8,263.86	$8,263.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.56 / $2,206.12 / $3,715.15	Professional		$1,443.56	$2,206.12	$3,715.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,172.29 / $2,172.29 / $2,172.29	Facility		$2,172.29	$2,172.29	$2,172.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,352.83 / $1,352.83 / $1,352.83	Professional		$1,352.83	$1,352.83	$1,352.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.44 / $2,233.35 / $3,530.62	Professional		$1,346.44	$2,233.35	$3,530.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,431.53 / $1,860.99 / $3,351.37	Professional		$1,431.53	$1,860.99	$3,351.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,568.19 / $3,615.00	Professional		$7.00	$2,568.19	$3,615.00
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.76 / $1,905.00 / $3,350.55	Professional		$1,367.76	$1,905.00	$3,350.55