Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.93 / $5,063.00 / $6,915.00	Facility		$1,135.93	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $755.38 / $1,644.86	Professional		$619.79	$755.38	$1,644.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $652.27 / $652.27 / $652.27	Professional		$652.27	$652.27	$652.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.82 / $1,034.66 / $1,870.51	Professional		$688.82	$1,034.66	$1,870.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.24 / $1,450.95 / $1,973.72	Facility		$1,202.24	$1,450.95	$1,973.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $784.14 / $2,500.00	Facility		$500.00	$784.14	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.70 / $1,092.60 / $1,756.17	Professional		$731.70	$1,092.60	$1,756.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.70 / $1,156.07 / $1,707.46	Professional		$757.70	$1,156.07	$1,707.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.15 / $1,215.15 / $1,239.86	Professional		$1,215.15	$1,215.15	$1,239.86
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 $610.73 / $993.66 / $1,559.84	Professional		$610.73	$993.66	$1,559.84