Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $6,915.00	Facility		$1,202.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $1,394.24 / $3,586.63	Professional		$184.88	$1,394.24	$3,586.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,576.24 / $2,544.73 / $2,692.31	Professional		$1,576.24	$2,544.73	$2,692.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.94 / $1,147.29 / $3,758.84	Professional		$232.94	$1,147.29	$3,758.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $349.42 / $1,720.93 / $5,638.26	Professional	50	$349.42	$1,720.93	$5,638.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $367.77 / $430.28	Facility		$312.60	$367.77	$430.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $1,121.07 / $4,406.29	Professional		$226.94	$1,121.07	$4,406.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $1,682.69 / $4,557.00	Professional		$208.36	$1,682.69	$4,557.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $1,439.17 / $2,876.47	Professional		$191.99	$1,439.17	$2,876.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,946.23 / $3,067.90 / $4,930.56	Professional		$1,946.23	$3,067.90	$4,930.56