Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.24 / $5,045.00 / $6,915.00	Facility		$1,101.24	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.88 / $1,222.15 / $2,208.08	Professional		$981.88	$1,222.15	$2,208.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,013.39 / $1,013.39 / $1,013.39	Professional		$1,013.39	$1,013.39	$1,013.39
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 $1,100.07 / $1,685.03 / $2,794.17	Professional		$1,100.07	$1,685.03	$2,794.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.64 / $1,569.64 / $1,569.64	Facility		$1,569.64	$1,569.64	$1,569.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.06 / $1,029.06 / $1,029.06	Professional		$1,029.06	$1,029.06	$1,029.06
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 $1,026.21 / $1,706.51 / $2,614.73	Professional		$1,026.21	$1,706.51	$2,614.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,419.16 / $2,541.58	Professional		$1,091.66	$1,419.16	$2,541.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,928.80 / $2,777.30	Professional		$7.00	$1,928.80	$2,777.30
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,901.00 / $8,133.00	Facility		$450.00	$2,901.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.06 / $1,417.42 / $2,443.83	Professional		$1,031.06	$1,417.42	$2,443.83