Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $9,488.00	Facility		$1,202.00	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,125.77 / $1,810.93	Professional		$750.15	$1,125.77	$1,810.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,747.82 / $1,747.82 / $1,747.82	Professional		$1,747.82	$1,747.82	$1,747.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,805.30 / $5,084.83	Facility		$1,000.00	$2,805.30	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.26 / $1,276.88 / $2,359.64	Professional		$847.26	$1,276.88	$2,359.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,613.27 / $1,983.03 / $74,999.25	Facility		$1,613.27	$1,983.03	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,119.77 / $1,410.08	Facility		$886.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.45 / $1,236.32 / $2,559.64	Professional		$818.45	$1,236.32	$2,559.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.55 / $1,506.26 / $7,664.86	Professional		$1,035.55	$1,506.26	$7,664.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.59 / $1,643.87 / $3,352.32	Professional		$1,468.59	$1,643.87	$3,352.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.99 / $1,129.32 / $2,136.78	Professional		$846.99	$1,129.32	$2,136.78