Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.58 / $5,063.00 / $6,915.00	Facility		$1,261.58	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.17 / $846.60 / $1,842.53	Professional		$692.17	$846.60	$1,842.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $774.11 / $1,095.44	Professional		$228.94	$774.11	$1,095.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.74 / $1,146.84 / $1,999.25	Professional		$772.74	$1,146.84	$1,999.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.04 / $1,623.39 / $2,208.29	Facility		$1,346.04	$1,623.39	$2,208.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.89 / $877.89 / $4,830.16	Facility		$877.89	$877.89	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $1,228.34 / $1,961.59	Professional		$814.41	$1,228.34	$1,961.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.75 / $1,302.45 / $1,969.28	Professional		$847.75	$1,302.45	$1,969.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.60 / $1,241.49 / $1,425.76	Professional		$1,166.60	$1,241.49	$1,425.76
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 $683.66 / $1,101.45 / $1,745.81	Professional		$683.66	$1,101.45	$1,745.81