Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.87 / $5,405.00 / $10,572.00	Facility		$977.87	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.83 / $599.17 / $1,492.75	Professional		$490.83	$599.17	$1,492.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.07 / $362.07 / $362.07	Professional		$362.07	$362.07	$362.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,625.04 / $14,509.03	Facility		$1,282.27	$5,625.04	$14,509.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.39 / $791.43 / $1,421.41	Professional		$549.39	$791.43	$1,421.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $953.36 / $1,152.45 / $1,567.68	Facility		$953.36	$1,152.45	$1,567.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $5,845.00 / $10,047.00	Facility		$623.07	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $854.14 / $1,418.61	Professional		$571.36	$854.14	$1,418.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $852.44 / $1,929.30	Professional		$601.82	$852.44	$1,929.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.14 / $793.31 / $984.79	Professional		$702.14	$793.31	$984.79
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 $480.39 / $722.90 / $1,361.81	Professional		$480.39	$722.90	$1,361.81