Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.81 / $5,045.00 / $6,915.00	Facility		$1,250.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.90 / $1,386.86 / $2,531.42	Professional		$1,145.90	$1,386.86	$2,531.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,305.28 / $2,305.28 / $2,305.28	Professional		$2,305.28	$2,305.28	$2,305.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.99 / $1,889.25 / $3,177.51	Professional		$1,250.99	$1,889.25	$3,177.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,769.88 / $1,769.88 / $1,769.88	Facility		$1,769.88	$1,769.88	$1,769.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.30 / $1,169.30 / $1,169.30	Professional		$1,169.30	$1,169.30	$1,169.30
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 $1,159.89 / $1,928.56 / $3,112.60	Professional		$1,159.89	$1,928.56	$3,112.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.67 / $1,614.17 / $2,864.60	Professional		$1,241.67	$1,614.17	$2,864.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,205.80 / $3,159.10	Professional		$7.00	$2,205.80	$3,159.10
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 $1,166.52 / $1,643.73 / $2,765.20	Professional		$1,166.52	$1,643.73	$2,765.20