Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.74 / $1,102.07 / $16,087.40	Facility		$859.74	$1,102.07	$16,087.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.74 / $1,730.44 / $24,880.80	Professional		$935.74	$1,730.44	$24,880.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $489.14 / $908.14	Professional		$330.17	$489.14	$908.14
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 $669.82 / $6,452.05 / $18,734.28	Professional		$669.82	$6,452.05	$18,734.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.55 / $1,060.65 / $1,236.11	Facility		$901.55	$1,060.65	$1,236.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.55 / $8,031.30 / $13,872.24	Professional		$598.55	$8,031.30	$13,872.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $541.70 / $6,733.27 / $14,126.27	Professional		$541.70	$6,733.27	$14,126.27
United Facility/Professional Professional Modifier Low / Median / High Price $9,778.04 / $14,091.19 / $22,585.29	Professional		$9,778.04	$14,091.19	$22,585.29