Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.01 / $3,460.00 / $7,421.00	Facility		$516.01	$3,460.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $498.77 / $1,062.14	Professional		$316.24	$498.77	$1,062.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $412.52 / $585.97	Professional		$303.42	$412.52	$585.97
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 $337.12 / $508.06 / $916.75	Professional		$337.12	$508.06	$916.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.85 / $701.31 / $953.99	Facility		$584.85	$701.31	$953.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $1,653.56	Facility		$574.91	$574.91	$1,653.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.13 / $651.46 / $1,100.91	Professional		$399.13	$651.46	$1,100.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.88 / $571.17 / $2,311.00	Professional		$382.88	$571.17	$2,311.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.20 / $13.20 / $18.19	Professional	AS	$13.20	$13.20	$18.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.84 / $595.14 / $828.90	Professional		$412.84	$595.14	$828.90
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 $438.67 / $700.09 / $1,064.03	Professional		$438.67	$700.09	$1,064.03