Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.43 / $4,368.00 / $6,915.00	Facility		$1,477.43	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.18 / $1,185.05 / $2,092.32	Professional		$943.18	$1,185.05	$2,092.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,388.60 / $1,388.60 / $1,388.60	Professional		$1,388.60	$1,388.60	$1,388.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,536.10 / $2,953.29	Professional		$1,012.00	$1,536.10	$2,953.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.73 / $1,625.73 / $1,625.73	Facility		$1,625.73	$1,625.73	$1,625.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,191.76 / $4,250.64	Facility		$860.00	$1,191.76	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.17 / $1,649.03 / $3,079.36	Professional		$1,100.17	$1,649.03	$3,079.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.32 / $1,664.52 / $3,005.91	Professional		$1,195.32	$1,664.52	$3,005.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.79 / $1,854.97 / $4,361.97	Professional		$1,582.79	$1,854.97	$4,361.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.10 / $1,426.50 / $2,399.61	Professional		$930.10	$1,426.50	$2,399.61