Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.35 / $5,170.00 / $12,228.00	Facility		$1,132.35	$5,170.00	$12,228.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,506.00 / $8,259.00 / $8,713.50	Facility	50	$5,506.00	$8,259.00	$8,713.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.39 / $579.67 / $1,214.72	Professional		$453.39	$579.67	$1,214.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.61 / $656.59 / $987.28	Professional		$352.61	$656.59	$987.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,390.77 / $4,144.26 / $13,523.26	Facility		$1,390.77	$4,144.26	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $724.90 / $1,330.72	Professional		$510.00	$724.90	$1,330.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.25 / $746.78 / $1,280.97	Facility		$539.25	$746.78	$1,280.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.46 / $619.40 / $667.04	Professional		$476.46	$619.40	$667.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $5,845.00 / $10,047.00	Facility		$589.59	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.97 / $799.76 / $1,298.23	Professional		$505.97	$799.76	$1,298.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $804.26 / $1,558.69	Professional		$568.59	$804.26	$1,558.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,725.00 / $3,725.00 / $4,233.47	Facility		$3,725.00	$3,725.00	$4,233.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.66 / $792.22 / $999.81	Professional		$507.66	$792.22	$999.81
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 $450.62 / $659.76 / $1,169.82	Professional		$450.62	$659.76	$1,169.82