Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.26 / $5,045.00 / $6,915.00	Facility		$2,208.26	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.07 / $2,452.94 / $4,654.34	Professional		$1,994.07	$2,452.94	$4,654.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,018.45 / $4,018.45 / $4,018.45	Professional		$4,018.45	$4,018.45	$4,018.45
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 $2,178.31 / $3,379.97 / $5,665.90	Professional		$2,178.31	$3,379.97	$5,665.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,260.64 / $3,260.64 / $3,260.64	Facility		$3,260.64	$3,260.64	$3,260.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,054.12 / $2,054.12 / $2,054.12	Professional		$2,054.12	$2,054.12	$2,054.12
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 $1,930.50 / $3,381.33 / $5,217.50	Professional		$1,930.50	$3,381.33	$5,217.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,178.31 / $2,831.80 / $5,099.68	Professional		$2,178.31	$2,831.80	$5,099.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.60 / $3,769.24 / $4,666.89	Professional		$1,655.60	$3,769.24	$4,666.89
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 $2,094.35 / $2,898.30 / $4,953.97	Professional		$2,094.35	$2,898.30	$4,953.97