Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,460.00 / $7,912.45	Facility		$722.00	$3,460.00	$7,912.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $2,482.67 / $6,736.60	Professional		$212.76	$2,482.67	$6,736.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,550.79 / $3,550.79 / $3,550.79	Professional		$3,550.79	$3,550.79	$3,550.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,691.87 / $8,263.11 / $11,152.37	Facility		$6,691.87	$8,263.11	$11,152.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $341.72 / $679.62	Professional		$218.62	$341.72	$679.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,449.59 / $6,449.59 / $6,449.59	Facility		$6,449.59	$6,449.59	$6,449.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.23 / $369.23 / $2,500.00	Facility		$369.23	$369.23	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.56 / $639.54 / $7,513.71	Professional		$271.56	$639.54	$7,513.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.30 / $3,050.29 / $15,285.00	Professional		$255.30	$3,050.29	$15,285.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.05 / $393.59 / $5,602.76	Professional		$324.05	$393.59	$5,602.76
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,800.00 / $11,000.00	Facility		$175.00	$1,800.00	$11,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,242.40 / $5,894.03 / $7,991.10	Professional		$3,242.40	$5,894.03	$7,991.10