Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.20 / $4,708.00 / $9,488.00	Facility		$1,241.20	$4,708.00	$9,488.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.62 / $228.63 / $402.64	Facility	53	$75.62	$228.63	$402.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $1,017.55 / $2,502.69	Professional		$339.77	$1,017.55	$2,502.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $542.78 / $1,673.98	Professional		$341.18	$542.78	$1,673.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $3,132.87 / $6,821.66	Facility		$1,135.89	$3,132.87	$6,821.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $1,046.32 / $2,481.16	Professional		$432.17	$1,046.32	$2,481.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $372.19 / $466.60 / $722.72	Facility		$372.19	$466.60	$722.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,092.11 / $1,097.96 / $1,890.90	Professional		$1,092.11	$1,097.96	$1,890.90
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 $441.56 / $1,037.92 / $2,614.76	Professional		$441.56	$1,037.92	$2,614.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.15 / $991.80 / $4,564.59	Professional		$386.15	$991.80	$4,564.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,725.00 / $6,356.47 / $10,327.68	Facility		$3,725.00	$6,356.47	$10,327.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $901.64 / $1,785.25	Professional		$352.22	$901.64	$1,785.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,268.00 / $8,836.00	Facility		$1,800.00	$6,268.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.83 / $1,654.04 / $2,791.22	Professional		$1,102.83	$1,654.04	$2,791.22