Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.63 / $2,658.58 / $5,450.20	Facility		$2,581.63	$2,658.58	$5,450.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,581.63 / $3,872.44	Professional		$2,488.32	$2,581.63	$3,872.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,488.32 / $2,488.32	Professional		$2,488.32	$2,488.32	$2,488.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.02 / $2,592.00 / $5,094.03	Facility		$1,388.02	$2,592.00	$5,094.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,665.44 / $2,813.52	Professional		$2,592.00	$2,665.44	$2,813.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,721.60 / $5,307.28	Facility		$2,643.84	$2,721.60	$5,307.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $6,610.00 / $10,240.00	Professional		$2,517.36	$6,610.00	$10,240.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,907.12 / $4,069.97 / $4,441.80	Professional		$2,907.12	$4,069.97	$4,441.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,110.40	Professional		$2,592.00	$2,592.00	$3,110.40