Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.23 / $4,126.00 / $8,499.20	Facility		$994.23	$4,126.00	$8,499.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $624.47 / $1,925.05	Professional		$250.79	$624.47	$1,925.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.66 / $381.37 / $1,291.80	Professional		$241.66	$381.37	$1,291.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,116.30 / $6,821.66	Facility		$989.09	$3,116.30	$6,821.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.53 / $812.36 / $1,723.27	Professional		$335.53	$812.36	$1,723.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.99 / $363.65 / $563.24	Facility		$289.99	$363.65	$563.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $928.68 / $1,594.14	Professional		$923.72	$928.68	$1,594.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.52 / $829.36 / $1,902.00	Professional		$345.52	$829.36	$1,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $839.92 / $3,343.03	Professional		$300.95	$839.92	$3,343.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.04 / $745.99 / $1,503.55	Professional		$272.04	$745.99	$1,503.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $10,000.00	Facility		$1,519.00	$6,689.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.81 / $1,193.78 / $2,051.87	Professional		$834.81	$1,193.78	$2,051.87