Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.63 / $5,063.00 / $8,155.00	Facility		$1,948.63	$5,063.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.68 / $1,395.70 / $2,639.20	Professional		$1,096.68	$1,395.70	$2,639.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,080.45 / $1,554.86 / $2,335.67	Professional		$1,080.45	$1,554.86	$2,335.67
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 $1,110.84 / $1,563.90 / $2,754.92	Professional		$1,110.84	$1,563.90	$2,754.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,910.54 / $2,247.69 / $74,999.25	Facility		$1,910.54	$2,247.69	$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 $1,163.98 / $1,913.91 / $2,936.14	Professional		$1,163.98	$1,913.91	$2,936.14
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
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.65 / $38.65 / $38.65	Professional	AS	$38.65	$38.65	$38.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.22 / $1,796.00 / $3,970.06	Professional		$1,436.22	$1,796.00	$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 $1,135.90 / $1,675.04 / $2,598.28	Professional		$1,135.90	$1,675.04	$2,598.28