Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,367.00 / $12,962.00	Facility		$1,352.00	$5,367.00	$12,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.70 / $948.54 / $1,854.61	Professional		$789.70	$948.54	$1,854.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.92 / $691.92 / $691.92	Professional		$691.92	$691.92	$691.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,732.00 / $15,489.38	Facility		$2,226.13	$6,732.00	$15,489.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.37 / $1,232.93 / $2,278.48	Professional		$865.37	$1,232.93	$2,278.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,533.03 / $1,847.15 / $2,512.65	Facility		$1,533.03	$1,847.15	$2,512.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $6,918.00 / $12,159.71	Facility		$998.04	$6,918.00	$12,159.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.52 / $1,384.24 / $2,274.02	Professional		$880.52	$1,384.24	$2,274.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.59 / $1,403.04 / $4,866.28	Professional		$964.59	$1,403.04	$4,866.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.39 / $1,413.97 / $1,622.27	Professional		$1,359.39	$1,413.97	$1,622.27
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 $775.16 / $1,148.46 / $1,985.97	Professional		$775.16	$1,148.46	$1,985.97