Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.44 / $1,148.03 / $8,518.92	Facility		$893.44	$1,148.03	$8,518.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.26 / $1,804.78 / $14,841.60	Professional		$976.26	$1,804.78	$14,841.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.57 / $739.65 / $965.56	Professional		$331.57	$739.65	$965.56
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 $697.97 / $3,752.11 / $10,440.70	Professional		$697.97	$3,752.11	$10,440.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.17 / $1,106.08 / $1,288.83	Facility		$940.17	$1,106.08	$1,288.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.08 / $4,127.32 / $7,129.01	Professional		$624.08	$4,127.32	$7,129.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.03 / $3,488.86 / $7,404.15	Professional		$564.03	$3,488.86	$7,404.15
United Facility/Professional Professional Modifier Low / Median / High Price $5,062.85 / $7,710.59 / $12,563.89	Professional		$5,062.85	$7,710.59	$12,563.89