Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.18 / $5,045.00 / $6,915.00	Facility		$887.18	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.67 / $617.78 / $1,196.83	Professional		$507.67	$617.78	$1,196.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $260.05 / $544.10	Professional		$56.59	$260.05	$544.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.36 / $829.50 / $1,496.10	Professional		$576.36	$829.50	$1,496.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,002.86 / $1,214.08 / $1,651.52	Facility		$1,002.86	$1,214.08	$1,651.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $656.56 / $2,172.58	Facility		$656.56	$656.56	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.10 / $890.71 / $1,461.89	Professional		$593.10	$890.71	$1,461.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $955.12 / $1,428.72	Professional		$634.00	$955.12	$1,428.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $919.79 / $1,038.15	Professional		$739.96	$919.79	$1,038.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.31 / $808.34 / $1,306.45	Professional		$504.31	$808.34	$1,306.45