Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.77 / $4,306.00 / $6,915.00	Facility		$1,095.77	$4,306.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $1,035.33 / $1,788.26	Professional		$549.97	$1,035.33	$1,788.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $748.18 / $846.45 / $1,133.36	Professional		$748.18	$846.45	$1,133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.59 / $899.70 / $1,649.64	Professional		$599.59	$899.70	$1,649.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,249.94 / $1,769.49	Facility		$1,040.08	$1,249.94	$1,769.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,021.88 / $13,510.07	Facility		$1,000.00	$1,021.88	$13,510.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.36 / $1,103.83 / $2,024.50	Professional		$717.36	$1,103.83	$2,024.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.07 / $1,177.29 / $2,426.19	Professional		$712.07	$1,177.29	$2,426.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.07 / $47.07 / $77.64	Professional	80	$47.07	$47.07	$77.64
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.53 / $23.53 / $38.82	Professional	AS	$23.53	$23.53	$38.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $682.80 / $1,084.77 / $1,810.72	Professional		$682.80	$1,084.77	$1,810.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.71 / $1,195.65 / $2,275.09	Professional		$823.71	$1,195.65	$2,275.09