Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.15 / $5,045.00 / $6,915.00	Facility		$1,426.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.43 / $1,590.02 / $2,937.63	Professional		$1,351.43	$1,590.02	$2,937.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,595.10 / $2,595.10 / $2,595.10	Professional		$2,595.10	$2,595.10	$2,595.10
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 $1,425.89 / $2,222.09 / $3,807.81	Professional		$1,425.89	$2,222.09	$3,807.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,221.42 / $2,221.42 / $2,221.42	Facility		$2,221.42	$2,221.42	$2,221.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.60 / $1,338.60 / $1,338.60	Professional		$1,338.60	$1,338.60	$1,338.60
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 $1,371.96 / $2,233.65 / $3,385.56	Professional		$1,371.96	$2,233.65	$3,385.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.48 / $1,837.52 / $3,309.11	Professional		$1,413.48	$1,837.52	$3,309.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,538.60 / $3,564.30	Professional		$15.00	$2,538.60	$3,564.30
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 $1,392.11 / $2,037.12 / $3,417.37	Professional		$1,392.11	$2,037.12	$3,417.37