Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.14 / $3,391.00 / $6,915.00	Facility		$932.14	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.57 / $586.62 / $1,256.86	Professional		$476.57	$586.62	$1,256.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $775.36 / $775.36 / $775.36	Professional		$775.36	$775.36	$775.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.64 / $776.73 / $1,418.55	Professional		$521.64	$776.73	$1,418.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.73 / $647.73 / $647.73	Facility		$647.73	$647.73	$647.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $1,653.56	Facility		$591.09	$591.09	$1,653.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.26 / $832.33 / $1,346.96	Professional		$555.26	$832.33	$1,346.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.69 / $830.10 / $2,880.00	Professional		$570.69	$830.10	$2,880.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.58 / $20.58 / $20.58	Professional	AS	$20.58	$20.58	$20.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $918.09 / $918.09 / $933.87	Professional		$918.09	$918.09	$933.87
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.14 / $736.86 / $1,178.53	Professional		$460.14	$736.86	$1,178.53