Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.33 / $4,592.00 / $6,915.00	Facility		$503.33	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $1,026.44 / $2,390.03	Professional		$304.70	$1,026.44	$2,390.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.56 / $914.81 / $2,091.36	Professional		$486.56	$914.81	$2,091.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.00 / $4,025.22 / $6,315.83	Facility		$1,518.00	$4,025.22	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $950.62 / $3,099.91	Professional		$360.77	$950.62	$3,099.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $541.16 / $1,425.93 / $4,649.85	Professional	50	$541.16	$1,425.93	$4,649.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.05 / $568.28 / $666.27	Facility		$483.05	$568.28	$666.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $1,270.71 / $2,870.20	Professional		$384.10	$1,270.71	$2,870.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $1,006.29 / $4,224.18	Professional		$322.62	$1,006.29	$4,224.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.38 / $914.81 / $1,811.32	Professional		$295.38	$914.81	$1,811.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.07 / $2,045.91 / $3,150.46	Professional		$1,092.07	$2,045.91	$3,150.46