Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,045.00 / $6,915.00	Facility		$1,890.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.57 / $1,608.49 / $3,121.39	Professional		$1,253.57	$1,608.49	$3,121.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,582.71 / $2,582.71 / $2,582.71	Professional		$2,582.71	$2,582.71	$2,582.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.39 / $2,070.60 / $4,095.32	Professional		$1,380.39	$2,070.60	$4,095.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,153.03 / $2,153.03 / $2,153.03	Facility		$2,153.03	$2,153.03	$2,153.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,616.23 / $4,250.64	Facility		$1,000.00	$1,616.23	$4,250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,483.45 / $2,301.75 / $4,258.22	Professional		$1,483.45	$2,301.75	$4,258.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,626.54 / $2,271.67 / $4,090.33	Professional		$1,626.54	$2,271.67	$4,090.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.44 / $2,452.60 / $5,951.26	Professional		$2,151.44	$2,452.60	$5,951.26
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 $1,270.30 / $1,936.40 / $3,284.05	Professional		$1,270.30	$1,936.40	$3,284.05