Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.50 / $3,460.00 / $6,915.00	Facility		$1,391.50	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.36 / $551.69 / $4,929.39	Professional		$267.36	$551.69	$4,929.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $461.65 / $467.14 / $2,887.81	Professional		$461.65	$467.14	$2,887.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $2,236.86 / $4,819.75	Facility		$576.79	$2,236.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $498.31 / $813.05	Professional		$287.95	$498.31	$813.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,821.57 / $4,821.57 / $4,821.57	Facility		$4,821.57	$4,821.57	$4,821.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.95 / $245.95 / $245.95	Professional		$245.95	$245.95	$245.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.82 / $720.22 / $5,318.73	Professional		$348.82	$720.22	$5,318.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.94 / $812.00 / $3,344.96	Professional		$299.94	$812.00	$3,344.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $732.72 / $935.29 / $6,264.74	Professional	22	$732.72	$935.29	$6,264.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $3,750.00 / $3,750.00	Facility		$2,178.87	$3,750.00	$3,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $1,301.45 / $4,110.22	Professional		$329.32	$1,301.45	$4,110.22
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.60 / $2,986.15 / $6,091.96	Professional		$643.60	$2,986.15	$6,091.96