Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.77 / $5,063.00 / $7,647.00	Facility		$1,023.77	$5,063.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.67 / $694.79 / $1,346.61	Professional		$579.67	$694.79	$1,346.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.29 / $610.29 / $610.29	Professional		$610.29	$610.29	$610.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,625.09 / $13,137.87	Facility		$1,603.22	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $928.43 / $1,673.08	Professional		$646.00	$928.43	$1,673.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.84 / $1,358.54 / $1,848.02	Facility		$1,124.84	$1,358.54	$1,848.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.30 / $734.30 / $12,825.84	Facility		$734.30	$734.30	$12,825.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.88 / $1,007.91 / $1,641.81	Professional		$675.88	$1,007.91	$1,641.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.43 / $1,081.95 / $1,598.70	Professional		$709.43	$1,081.95	$1,598.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.14 / $1,150.99 / $1,160.89	Professional		$1,138.14	$1,150.99	$1,160.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $854.40 / $1,564.24	Professional		$566.28	$854.40	$1,564.24