Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.08 / $1,491.12 / $18,202.20	Facility		$1,154.08	$1,491.12	$18,202.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.86 / $2,337.40 / $30,013.70	Professional		$1,262.86	$2,337.40	$30,013.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,207.57 / $1,207.57 / $1,207.57	Professional		$1,207.57	$1,207.57	$1,207.57
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 $892.61 / $7,253.30 / $21,435.56	Professional		$892.61	$7,253.30	$21,435.56
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $142.81 / $1,160.52 / $3,429.68	Professional	80	$142.81	$1,160.52	$3,429.68
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $124.96 / $1,015.46 / $3,000.97	Professional	AS	$124.96	$1,015.46	$3,000.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.80 / $1,410.36 / $1,645.77	Facility		$1,198.80	$1,410.36	$1,645.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.93 / $8,865.15 / $16,379.00	Professional		$796.93	$8,865.15	$16,379.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $7,441.25 / $15,874.91	Professional		$713.16	$7,441.25	$15,874.91
United Facility/Professional Professional Modifier Low / Median / High Price $11,603.80 / $16,593.43 / $27,012.01	Professional		$11,603.80	$16,593.43	$27,012.01