Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.31 / $5,063.00 / $10,897.00	Facility		$1,277.31	$5,063.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.42 / $877.38 / $1,835.18	Professional		$714.42	$877.38	$1,835.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.53 / $494.53 / $494.53	Professional		$494.53	$494.53	$494.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,634.28 / $21,112.96	Facility		$1,402.00	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.30 / $1,146.34 / $2,074.02	Professional		$801.30	$1,146.34	$2,074.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,395.51 / $1,683.74 / $2,290.38	Facility		$1,395.51	$1,683.74	$2,290.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $6,874.29	Facility		$909.88	$909.88	$6,874.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.30 / $1,243.71 / $2,038.21	Professional		$817.30	$1,243.71	$2,038.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.25 / $1,217.82 / $2,177.17	Professional		$879.25	$1,217.82	$2,177.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.75 / $1,423.50 / $1,438.78	Professional		$1,237.75	$1,423.50	$1,438.78
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 $703.15 / $1,075.40 / $1,811.11	Professional		$703.15	$1,075.40	$1,811.11