Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.30 / $4,338.00 / $6,915.00	Facility		$1,009.30	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.90 / $688.07 / $1,333.80	Professional		$573.90	$688.07	$1,333.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.16 / $640.16 / $640.16	Professional		$640.16	$640.16	$640.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.35 / $923.37 / $1,657.63	Professional		$638.35	$923.37	$1,657.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,113.11 / $1,344.65 / $1,829.12	Facility		$1,113.11	$1,344.65	$1,829.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $4,830.16	Facility		$726.86	$726.86	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.63 / $997.26 / $1,625.20	Professional		$665.63	$997.26	$1,625.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.19 / $1,071.96 / $1,582.38	Professional		$702.19	$1,071.96	$1,582.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $816.98 / $1,015.84 / $1,149.04	Professional		$816.98	$1,015.84	$1,149.04
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 $560.66 / $868.04 / $1,447.50	Professional		$560.66	$868.04	$1,447.50