Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.10 / $44,341.50	Facility		$28,424.06	$28,424.10	$44,341.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,108.87	Professional		$28,424.06	$28,424.06	$34,108.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,424.06	Professional		$28,424.06	$28,424.06	$28,424.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $45,478.50 / $104,316.30	Facility		$28,424.06	$45,478.50	$104,316.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,992.54	Professional		$28,424.06	$28,424.06	$28,992.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $55,711.16	Facility		$28,424.06	$28,424.06	$55,711.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $28,424.06	Professional		$28,424.06	$28,424.06	$28,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $26,815.15 / $28,424.06	Facility		$26,815.15	$26,815.15	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $33,518.94	Professional		$28,424.06	$28,424.06	$33,518.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,414.77 / $27,070.53 / $45,456.09	Professional		$3,414.77	$27,070.53	$45,456.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,424.00 / $32,687.67 / $58,550.92	Professional		$9,424.00	$32,687.67	$58,550.92
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,108.87	Professional		$28,424.06	$28,424.06	$34,108.87