Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,647.00	Facility		$1,791.00	$5,063.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.68 / $1,358.98 / $2,683.93	Professional		$1,096.68	$1,358.98	$2,683.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,502.00 / $1,502.00 / $1,932.88	Professional		$1,502.00	$1,502.00	$1,932.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,139.00 / $8,545.91	Facility		$1,376.26	$4,139.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.34 / $1,555.19 / $2,754.92	Professional		$1,096.34	$1,555.19	$2,754.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,910.54 / $2,309.40 / $74,999.25	Facility		$1,910.54	$2,309.40	$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 $1,098.96 / $1,749.87 / $2,932.74	Professional		$1,098.96	$1,749.87	$2,932.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.99 / $1,754.16 / $8,897.54	Professional		$1,205.99	$1,754.16	$8,897.54
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.30 / $77.30 / $77.30	Professional	80	$77.30	$77.30	$77.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.22 / $1,796.63 / $3,970.06	Professional		$1,436.22	$1,796.63	$3,970.06
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 $1,055.79 / $1,526.67 / $2,598.28	Professional		$1,055.79	$1,526.67	$2,598.28