Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.53 / $6,132.00 / $9,255.12	Facility		$1,941.53	$6,132.00	$9,255.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.53 / $2,540.05 / $2,919.60	Professional		$1,941.53	$2,540.05	$2,919.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $975.15 / $975.15 / $975.15	Professional		$975.15	$975.15	$975.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.35 / $3,226.16 / $10,101.82	Facility		$1,901.35	$3,226.16	$10,101.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.88 / $1,167.83 / $3,620.30	Professional		$875.88	$1,167.83	$3,620.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $4,087.44 / $6,275.09	Facility		$1,897.74	$4,087.44	$6,275.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $2,919.60 / $3,649.50	Professional		$1,897.74	$2,919.60	$3,649.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,780.00 / $6,423.12 / $6,619.66	Facility		$1,780.00	$6,423.12	$6,619.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.83 / $3,101.44 / $8,732.51	Professional		$1,336.83	$3,101.44	$8,732.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,795.48 / $22,755.76	Professional		$2,919.60	$3,795.48	$22,755.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,532.72 / $4,087.44 / $5,401.26	Professional		$3,532.72	$4,087.44	$5,401.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $4,233.42	Professional		$1,226.23	$1,751.76	$4,233.42