Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.45 / $3,139.80 / $6,726.00	Facility		$424.45	$3,139.80	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $399.76 / $664.48	Professional		$177.33	$399.76	$664.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $139.82 / $315.75	Professional		$114.80	$139.82	$315.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $321.12 / $651.24	Professional		$180.68	$321.12	$651.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.82 / $904.82 / $904.82	Facility		$904.82	$904.82	$904.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $6,639.65	Facility		$305.94	$305.94	$6,639.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.76 / $466.38 / $888.13	Professional		$237.76	$466.38	$888.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $443.13 / $917.30	Professional		$212.64	$443.13	$917.30
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $14.06 / $14.06 / $29.35	Professional	80	$14.06	$14.06	$29.35
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.03 / $7.03 / $14.68	Professional	AS	$7.03	$7.03	$14.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.51 / $406.20 / $743.46	Professional		$261.51	$406.20	$743.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.07 / $610.78 / $941.63	Professional		$357.07	$610.78	$941.63