Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.60 / $5,045.00 / $6,915.00	Facility		$1,231.60	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.26 / $1,351.00 / $2,432.13	Professional		$1,114.26	$1,351.00	$2,432.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,954.51 / $5,954.51 / $5,954.51	Professional		$5,954.51	$5,954.51	$5,954.51
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 $1,177.75 / $1,769.33 / $3,143.03	Professional		$1,177.75	$1,769.33	$3,143.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,580.39 / $1,580.39 / $1,580.39	Facility		$1,580.39	$1,580.39	$1,580.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.49 / $1,149.49 / $1,149.49	Professional		$1,149.49	$1,149.49	$1,149.49
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 $1,047.50 / $1,716.30 / $2,838.69	Professional		$1,047.50	$1,716.30	$2,838.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.91 / $1,590.19 / $2,888.72	Professional		$1,233.91	$1,590.19	$2,888.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,998.50 / $3,160.80	Professional		$7.00	$1,998.50	$3,160.80
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 $1,092.95 / $1,535.52 / $2,747.92	Professional		$1,092.95	$1,535.52	$2,747.92