Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.23 / $5,367.00 / $10,374.00	Facility		$1,204.23	$5,367.00	$10,374.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.94 / $1,286.36 / $2,672.11	Professional		$1,026.94	$1,286.36	$2,672.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $986.27 / $1,743.90 / $1,753.87	Professional		$986.27	$1,743.90	$1,753.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,139.00 / $8,094.63	Facility		$1,380.70	$4,139.00	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.98 / $1,481.73 / $2,638.60	Professional		$1,007.98	$1,481.73	$2,638.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,731.26 / $2,095.32 / $74,999.25	Facility		$1,731.26	$2,095.32	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $5,008.00 / $9,852.00	Facility		$2,116.42	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.70 / $1,735.95 / $2,756.45	Professional		$1,062.70	$1,735.95	$2,756.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $2,053.00 / $8,062.41	Professional		$1,094.20	$2,053.00	$8,062.41
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $70.14 / $70.14 / $70.14	Professional	80	$70.14	$70.14	$70.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.07 / $35.07 / $35.07	Professional	AS	$35.07	$35.07	$35.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.08 / $1,636.36 / $3,597.52	Professional		$1,303.08	$1,636.36	$3,597.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.81 / $1,517.69 / $2,524.42	Professional		$1,056.81	$1,517.69	$2,524.42