Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.50 / $4,217.07 / $6,915.00	Facility		$1,292.50	$4,217.07	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $463.88 / $955.96	Professional		$366.98	$463.88	$955.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $377.71 / $377.71 / $777.14	Professional		$377.71	$377.71	$777.14
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 $408.29 / $595.10 / $1,056.34	Professional		$408.29	$595.10	$1,056.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.74 / $838.52 / $1,165.85	Facility		$712.74	$838.52	$1,165.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $462.38 / $2,225.00	Facility		$462.38	$462.38	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $649.60 / $1,054.27	Professional		$431.25	$649.60	$1,054.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.57 / $687.63 / $2,197.00	Professional		$447.57	$687.63	$2,197.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.14 / $16.14 / $16.14	Professional	AS	$16.14	$16.14	$16.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.37 / $650.52 / $746.92	Professional		$541.37	$650.52	$746.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,647.00	Facility		$1,323.00	$4,594.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.83 / $573.39 / $922.44	Professional		$359.83	$573.39	$922.44