Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.30 / $1,536.34 / $23,286.20	Facility		$1,189.30	$1,536.34	$23,286.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.79 / $2,411.67 / $41,176.10	Professional		$1,303.79	$2,411.67	$41,176.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.88 / $1,215.97 / $15,728.86	Professional		$740.88	$1,215.97	$15,728.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $7,591.82 / $21,232.89	Facility		$2,439.08	$7,591.82	$21,232.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.79 / $9,067.32 / $29,236.32	Professional		$923.79	$9,067.32	$29,236.32
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $147.80 / $1,450.77 / $4,677.81	Professional	80	$147.80	$1,450.77	$4,677.81
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $129.33 / $1,269.42 / $4,093.08	Professional	AS	$129.33	$1,269.42	$4,093.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.42 / $1,460.49 / $1,702.47	Facility		$1,241.42	$1,460.49	$1,702.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.39 / $11,082.29 / $19,936.00	Professional		$824.39	$11,082.29	$19,936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $742.37 / $9,289.50 / $19,483.41	Professional		$742.37	$9,289.50	$19,483.41
United Facility/Professional Professional Modifier Low / Median / High Price $14,862.32 / $21,253.12 / $33,893.96	Professional		$14,862.32	$21,253.12	$33,893.96