Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.20 / $5,045.00 / $6,915.00	Facility		$1,772.20	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.32 / $1,960.79 / $3,631.78	Professional		$1,637.32	$1,960.79	$3,631.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,065.79 / $3,065.79 / $3,065.79	Professional		$3,065.79	$3,065.79	$3,065.79
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 $1,751.89 / $2,767.99 / $4,660.03	Professional		$1,751.89	$2,767.99	$4,660.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,675.17 / $2,675.17 / $2,675.17	Facility		$2,675.17	$2,675.17	$2,675.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,629.40 / $1,629.40 / $1,629.40	Professional		$1,629.40	$1,629.40	$1,629.40
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 $1,706.04 / $2,778.29 / $4,439.84	Professional		$1,706.04	$2,778.29	$4,439.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,734.31 / $2,254.60 / $4,298.27	Professional		$1,734.31	$2,254.60	$4,298.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,228.50 / $4,461.80	Professional		$7.00	$3,228.50	$4,461.80
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 $1,683.14 / $2,375.91 / $4,112.89	Professional		$1,683.14	$2,375.91	$4,112.89