Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.23 / $4,368.00 / $6,915.00	Facility		$999.23	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $833.43 / $1,664.55	Professional		$676.80	$833.43	$1,664.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $767.29 / $767.29 / $767.29	Professional		$767.29	$767.29	$767.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.45 / $1,028.61 / $1,962.14	Professional		$685.45	$1,028.61	$1,962.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,562.78 / $2,182.35	Facility		$1,200.26	$1,562.78	$2,182.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $867.10 / $6,468.79	Facility		$860.00	$867.10	$6,468.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.98 / $1,129.04 / $1,933.65	Professional		$698.98	$1,129.04	$1,933.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.78 / $1,190.42 / $1,887.93	Professional		$837.78	$1,190.42	$1,887.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $782.01 / $1,283.58 / $3,262.17	Professional		$782.01	$1,283.58	$3,262.17
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 $650.78 / $1,002.27 / $1,847.23	Professional		$650.78	$1,002.27	$1,847.23