Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,267.30 / $5,063.00 / $8,903.00	Facility		$2,267.30	$5,063.00	$8,903.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.81 / $1,548.10 / $2,818.22	Professional		$1,317.81	$1,548.10	$2,818.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,255.97 / $1,807.56 / $2,434.31	Professional		$1,255.97	$1,807.56	$2,434.31
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 $1,292.27 / $1,809.17 / $3,204.82	Professional		$1,292.27	$1,809.17	$3,204.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,221.07 / $2,684.69 / $74,999.25	Facility		$2,221.07	$2,684.69	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,656.07 / $5,008.00 / $9,852.00	Facility		$2,656.07	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.93 / $2,234.04 / $3,415.64	Professional		$1,341.93	$2,234.04	$3,415.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.96 / $2,039.22 / $10,350.44	Professional		$1,401.96	$2,039.22	$10,350.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.86 / $89.86 / $89.86	Professional	80	$89.86	$89.86	$89.86
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.93 / $44.93 / $44.93	Professional	AS	$44.93	$44.93	$44.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $4,334.00 / $7,298.54	Facility		$4,334.00	$4,334.00	$7,298.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.27 / $1,886.71 / $2,549.02	Professional		$1,554.27	$1,886.71	$2,549.02
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 $1,306.83 / $1,878.62 / $3,022.60	Professional		$1,306.83	$1,878.62	$3,022.60