Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.25 / $4,700.00 / $7,421.00	Facility		$938.25	$4,700.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.07 / $2,827.88 / $6,770.76	Professional		$455.07	$2,827.88	$6,770.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.02 / $457.62 / $772.38	Professional		$416.02	$457.62	$772.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,732.00 / $13,137.87	Facility		$2,226.13	$6,732.00	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $1,880.27 / $6,462.50	Professional		$569.54	$1,880.27	$6,462.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.79 / $902.10 / $1,051.64	Facility		$766.79	$902.10	$1,051.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.19 / $1,494.60 / $7,084.54	Professional		$582.19	$1,494.60	$7,084.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.23 / $1,590.00 / $4,236.88	Professional		$509.23	$1,590.00	$4,236.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $2,507.03 / $4,963.92	Professional		$488.01	$2,507.03	$4,963.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,242.00 / $24,000.00	Facility		$2,303.00	$10,242.00	$24,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,973.37 / $4,731.96 / $7,895.81	Professional		$2,973.37	$4,731.96	$7,895.81