Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.46 / $4,306.00 / $7,311.83	Facility		$673.46	$4,306.00	$7,311.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,562.00 / $5,506.00 / $10,602.00	Facility	50	$3,562.00	$5,506.00	$10,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.68 / $590.09 / $1,224.84	Professional		$396.68	$590.09	$1,224.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.03 / $819.24 / $884.04	Professional		$574.03	$819.24	$884.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $741.66 / $1,246.07	Professional		$476.13	$741.66	$1,246.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.56 / $957.48 / $1,470.41	Facility		$883.56	$957.48	$1,470.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $6,918.00 / $9,852.00	Facility		$1,942.85	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $824.24 / $1,301.81	Professional		$522.42	$824.24	$1,301.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.14 / $682.74 / $1,077.65	Professional		$509.14	$682.74	$1,077.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.50 / $803.29 / $1,083.42	Professional		$540.50	$803.29	$1,083.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $751.99 / $1,270.63	Professional		$538.33	$751.99	$1,270.63