Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.29 / $2,987.00 / $6,915.00	Facility		$320.29	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $1,762.37 / $3,905.67	Professional		$156.05	$1,762.37	$3,905.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Professional		$163.51	$163.51	$163.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $11,012.97 / $22,632.13	Facility		$7,875.00	$11,012.97	$22,632.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $1,176.40 / $3,839.68	Professional		$193.92	$1,176.40	$3,839.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.05 / $308.30 / $360.27	Facility		$262.05	$308.30	$360.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $510.20 / $4,374.49	Professional		$190.19	$510.20	$4,374.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $1,725.39 / $4,468.00	Professional		$174.44	$1,725.39	$4,468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $1,402.62 / $3,105.71	Professional		$167.18	$1,402.62	$3,105.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,576.00 / $20,361.00	Facility		$1,998.00	$9,576.00	$20,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.50 / $2,812.33 / $4,032.62	Professional		$1,507.50	$2,812.33	$4,032.62