Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $12,302.69	Facility		$1,862.09	$5,495.41	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $8,317.64 / $8,709.64	Facility	50	$5,495.41	$8,317.64	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,230.27	Professional		$457.09	$660.69	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $933.25	Professional		$354.81	$602.56	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,466.84 / $13,182.57	Facility		$1,174.90	$4,466.84	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,122.02	Professional		$501.19	$758.58	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,000.00	Facility		$602.56	$724.44	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $707.95	Professional		$478.63	$616.60	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,918.31 / $10,000.00	Facility		$1,148.15	$6,918.31	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,288.25	Professional		$512.86	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $2,818.38	Professional		$549.54	$691.83	$2,818.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $6,456.54	Facility		$3,715.35	$6,456.54	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,071.52	Professional		$512.86	$912.01	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,174.90	Professional		$426.58	$660.69	$1,174.90