Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,592.00 / $6,915.00	Facility		$1,194.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $1,435.65 / $2,908.34	Professional		$130.72	$1,435.65	$2,908.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,057.53 / $2,019.88 / $2,194.48	Professional		$1,057.53	$2,019.88	$2,194.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $886.49 / $2,899.84	Professional		$154.46	$886.49	$2,899.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.69 / $1,329.73 / $4,349.76	Professional	50	$231.69	$1,329.73	$4,349.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $246.86 / $288.63	Facility		$209.82	$246.86	$288.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $876.92 / $3,307.74	Professional		$152.30	$876.92	$3,307.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $1,300.19 / $5,280.00	Professional		$139.76	$1,300.19	$5,280.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $1,122.89 / $2,236.44	Professional		$130.91	$1,122.89	$2,236.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.08 / $2,269.53 / $3,704.85	Professional		$1,547.08	$2,269.53	$3,704.85