Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.68 / $4,557.34 / $7,000.00	Facility		$1,533.68	$4,557.34	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.67 / $511.38 / $1,196.88	Professional		$408.67	$511.38	$1,196.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $693.64 / $792.09 / $904.08	Professional		$693.64	$792.09	$904.08
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 $449.79 / $671.42 / $1,163.73	Professional		$449.79	$671.42	$1,163.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $561.09 / $561.09 / $561.09	Facility		$561.09	$561.09	$561.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $509.09 / $2,225.00	Facility		$509.09	$509.09	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $721.41 / $1,161.43	Professional		$474.90	$721.41	$1,161.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.26 / $716.02 / $2,263.00	Professional		$492.26	$716.02	$2,263.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.75 / $17.75 / $17.75	Professional	AS	$17.75	$17.75	$17.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $798.64 / $798.64 / $798.64	Professional		$798.64	$798.64	$798.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $634.91 / $1,016.21	Professional		$395.41	$634.91	$1,016.21