Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,068.00	Facility		$1,202.00	$5,063.00	$7,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.80 / $470.45 / $1,009.25	Professional		$380.80	$470.45	$1,009.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.61 / $782.43 / $849.02	Professional		$326.61	$782.43	$849.02
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 $422.41 / $614.52 / $1,092.86	Professional		$422.41	$614.52	$1,092.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.51 / $868.83 / $1,207.55	Facility		$738.51	$868.83	$1,207.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $2,225.00	Facility		$478.75	$478.75	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $671.07 / $1,090.72	Professional		$443.61	$671.07	$1,090.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.57 / $674.29 / $2,227.00	Professional		$463.57	$674.29	$2,227.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.71 / $16.71 / $16.71	Professional	AS	$16.71	$16.71	$16.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.93 / $752.10 / $779.65	Professional		$677.93	$752.10	$779.65
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 $371.49 / $589.74 / $954.33	Professional		$371.49	$589.74	$954.33