Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,466.84 / $8,317.64	Facility		$1,000.00	$4,466.84	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,659.59	Professional		$616.60	$831.76	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,148.15	Professional		$354.81	$660.69	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,691.53 / $4,786.30	Facility		$1,071.52	$2,691.53	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,548.82	Professional		$562.34	$891.25	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $891.25 / $1,258.93	Facility		$812.83	$891.25	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,445.44	Professional		$812.83	$812.83	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,698.24	Professional		$602.56	$1,000.00	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,905.46	Professional		$630.96	$758.58	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	22	$1,584.89	$1,584.89	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $19,952.62	Facility		$12,882.50	$12,882.50	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,621.81	Professional		$562.34	$794.33	$1,621.81