Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.95 / $5,175.00 / $14,490.00	Facility		$1,326.95	$5,175.00	$14,490.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.77 / $875.96 / $1,870.44	Professional		$716.77	$875.96	$1,870.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,671.21 / $1,671.21 / $1,671.21	Professional		$1,671.21	$1,671.21	$1,671.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.29 / $1,188.99 / $2,151.16	Professional		$827.29	$1,188.99	$2,151.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,449.11 / $1,744.92 / $2,373.60	Facility		$1,449.11	$1,744.92	$2,373.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $942.61 / $2,500.00	Facility		$500.00	$942.61	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.89 / $1,289.06 / $2,076.40	Professional		$863.89	$1,289.06	$2,076.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.21 / $1,242.56 / $2,339.58	Professional		$911.21	$1,242.56	$2,339.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.34 / $1,478.34 / $1,478.34	Professional		$1,478.34	$1,478.34	$1,478.34
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 $727.64 / $1,108.61 / $1,878.47	Professional		$727.64	$1,108.61	$1,878.47