Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.84 / $5,045.00 / $9,488.00	Facility		$1,058.84	$5,045.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.80 / $1,022.95 / $2,255.35	Professional		$598.80	$1,022.95	$2,255.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $566.70 / $731.06 / $1,097.83	Professional		$566.70	$731.06	$1,097.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.73 / $3,570.00 / $7,748.81	Facility		$1,184.73	$3,570.00	$7,748.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.50 / $903.10 / $1,613.96	Professional		$593.50	$903.10	$1,613.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.49 / $1,245.58 / $1,872.63	Facility		$1,036.49	$1,245.58	$1,872.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.68 / $1,018.68 / $6,159.16	Facility		$1,018.68	$1,018.68	$6,159.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $1,180.04 / $2,141.19	Professional		$732.07	$1,180.04	$2,141.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.58 / $1,174.76 / $2,421.07	Professional		$709.58	$1,174.76	$2,421.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $46.90 / $46.90 / $77.47	Professional	80	$46.90	$46.90	$77.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.45 / $23.45 / $38.74	Professional	AS	$23.45	$23.45	$38.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $684.67 / $1,086.48 / $1,818.95	Professional		$684.67	$1,086.48	$1,818.95
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 $864.48 / $1,239.85 / $2,252.48	Professional		$864.48	$1,239.85	$2,252.48