Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.23 / $5,045.00 / $6,915.00	Facility		$1,850.23	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,727.85 / $2,141.53 / $3,940.98	Professional		$1,727.85	$2,141.53	$3,940.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,364.25 / $3,364.25 / $3,364.25	Professional		$3,364.25	$3,364.25	$3,364.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,829.19 / $2,898.81 / $4,865.66	Professional		$1,829.19	$2,898.81	$4,865.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,860.14 / $2,860.14 / $2,860.14	Facility		$2,860.14	$2,860.14	$2,860.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,706.70 / $1,706.70 / $1,706.70	Professional		$1,706.70	$1,706.70	$1,706.70
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 $1,788.08 / $2,959.61 / $4,538.75	Professional		$1,788.08	$2,959.61	$4,538.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,812.05 / $2,355.67 / $4,242.22	Professional		$1,812.05	$2,355.67	$4,242.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,528.30 / $4,647.10	Professional		$7.00	$3,528.30	$4,647.10
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 $1,808.07 / $2,564.25 / $4,925.01	Professional		$1,808.07	$2,564.25	$4,925.01