Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,842.73 / $5,045.00 / $6,915.00	Facility		$2,842.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,465.28 / $3,137.67 / $6,297.84	Professional		$2,465.28	$3,137.67	$6,297.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,188.59 / $5,188.59 / $5,188.59	Professional		$5,188.59	$5,188.59	$5,188.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,746.64 / $3,981.15 / $7,677.55	Professional		$2,746.64	$3,981.15	$7,677.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,186.21 / $4,186.21 / $4,186.21	Facility		$4,186.21	$4,186.21	$4,186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,193.94 / $57,200.00	Facility		$500.00	$3,193.94	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,879.27 / $4,377.18 / $7,499.97	Professional		$2,879.27	$4,377.18	$7,499.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,242.47 / $4,511.26 / $8,153.99	Professional		$3,242.47	$4,511.26	$8,153.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,813.97 / $4,080.26 / $5,205.84	Professional		$2,813.97	$4,080.26	$5,205.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,468.71 / $3,793.88 / $7,356.78	Professional		$2,468.71	$3,793.88	$7,356.78