Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $5,405.00 / $12,962.00	Facility		$1,300.55	$5,405.00	$12,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $813.61 / $2,150.63	Professional		$678.25	$813.61	$2,150.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $92.92 / $92.92	Professional		$92.92	$92.92	$92.92
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 $755.77 / $1,064.42 / $1,961.76	Professional		$755.77	$1,064.42	$1,961.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.67 / $1,592.00 / $2,165.58	Facility		$1,318.67	$1,592.00	$2,165.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.40 / $6,918.00 / $10,047.00	Facility		$860.40	$6,918.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.11 / $1,187.54 / $1,957.91	Professional		$780.11	$1,187.54	$1,957.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.35 / $1,164.48 / $3,603.75	Professional		$831.35	$1,164.48	$3,603.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $751.22 / $1,160.11 / $1,476.89	Professional		$751.22	$1,160.11	$1,476.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $14,120.00	Facility		$1,519.00	$6,689.00	$14,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.75 / $1,064.80 / $1,857.51	Professional		$664.75	$1,064.80	$1,857.51