Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.57 / $5,063.00 / $7,421.00	Facility		$1,136.57	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.31 / $528.22 / $1,163.19	Professional		$424.31	$528.22	$1,163.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.66 / $832.02 / $874.49	Professional		$413.66	$832.02	$874.49
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 $472.31 / $688.90 / $1,221.96	Professional		$472.31	$688.90	$1,221.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.56 / $972.42 / $1,346.93	Facility		$826.56	$972.42	$1,346.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $2,225.00	Facility		$534.66	$534.66	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.86 / $754.60 / $1,219.56	Professional		$495.86	$754.60	$1,219.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.08 / $752.11 / $2,514.00	Professional		$517.08	$752.11	$2,514.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.26 / $831.26 / $846.13	Professional		$831.26	$831.26	$846.13
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 $416.28 / $663.04 / $1,067.05	Professional		$416.28	$663.04	$1,067.05