Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.04 / $6,915.00 / $11,100.00	Facility		$720.04	$6,915.00	$11,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.85 / $1,749.27 / $4,896.82	Professional		$404.85	$1,749.27	$4,896.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $368.70 / $553.04 / $701.74	Professional		$368.70	$553.04	$701.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $1,550.56 / $5,130.72	Professional		$505.41	$1,550.56	$5,130.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $679.56 / $799.49 / $936.68	Facility		$679.56	$799.49	$936.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.19 / $1,169.83 / $4,455.83	Professional		$516.19	$1,169.83	$4,455.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.56 / $1,705.62 / $12,992.38	Professional		$453.56	$1,705.62	$12,992.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.67 / $1,477.58 / $3,016.68	Professional		$434.67	$1,477.58	$3,016.68
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 $1,983.24 / $3,275.64 / $5,019.46	Professional		$1,983.24	$3,275.64	$5,019.46