Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.84 / $1,047.72 / $7,279.63	Facility		$815.84	$1,047.72	$7,279.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.44 / $1,644.72 / $12,671.00	Professional		$889.44	$1,644.72	$12,671.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.01 / $813.10 / $4,692.33	Professional		$302.01	$813.10	$4,692.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,293.95 / $1,293.95 / $1,319.32	Professional	50	$1,293.95	$1,293.95	$1,319.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,312.96 / $13,137.87	Facility		$2,226.13	$6,312.96	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.51 / $2,802.79 / $8,944.00	Professional		$636.51	$2,802.79	$8,944.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $954.76 / $4,204.18 / $13,416.00	Professional	50	$954.76	$4,204.18	$13,416.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $856.40 / $1,007.52 / $1,173.99	Facility		$856.40	$1,007.52	$1,173.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.49 / $3,083.07 / $5,325.30	Professional		$568.49	$3,083.07	$5,325.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $514.47 / $2,615.69 / $5,598.10	Professional		$514.47	$2,615.69	$5,598.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,004.61 / $6,407.38 / $9,794.16	Professional		$4,004.61	$6,407.38	$9,794.16