Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.50 / $5,045.00 / $6,915.00	Facility		$890.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.09 / $466.89 / $1,217.77	Professional		$383.09	$466.89	$1,217.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $525.42 / $790.61	Professional		$330.03	$525.42	$790.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.49 / $623.29 / $1,106.01	Professional		$427.49	$623.29	$1,106.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.98 / $876.44 / $1,220.19	Facility		$744.98	$876.44	$1,220.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $2,225.00	Facility		$484.32	$484.32	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.46 / $680.09 / $1,103.83	Professional		$453.46	$680.09	$1,103.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.42 / $719.67 / $2,344.00	Professional		$468.42	$719.67	$2,344.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.89 / $16.89 / $16.89	Professional	AS	$16.89	$16.89	$16.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $452.04 / $569.97 / $1,821.75	Professional		$452.04	$569.97	$1,821.75
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 $372.81 / $600.80 / $962.38	Professional		$372.81	$600.80	$962.38