Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $4,613.00 / $6,915.00	Facility		$587.54	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $589.71 / $1,494.34	Professional		$364.61	$589.71	$1,494.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $394.11 / $835.21 / $1,074.10	Professional		$394.11	$835.21	$1,074.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,258.17 / $1,258.17 / $1,258.17	Professional	50	$1,258.17	$1,258.17	$1,258.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.12 / $776.11 / $1,481.52	Professional		$433.12	$776.11	$1,481.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $649.69 / $1,164.17 / $2,222.28	Professional	50	$649.69	$1,164.17	$2,222.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.57 / $680.67 / $800.64	Facility		$578.57	$680.67	$800.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.70 / $983.25 / $1,512.34	Professional		$529.70	$983.25	$1,512.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.70 / $571.90 / $1,684.00	Professional		$387.70	$571.90	$1,684.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.08 / $584.82 / $947.18	Professional		$408.08	$584.82	$947.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.12 / $854.59 / $1,544.28	Professional		$534.12	$854.59	$1,544.28