Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,168.69 / $7,413.10	Facility		$1,380.38	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $5,011.87	Professional		$263.03	$588.84	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $446.68	Professional		$204.17	$257.04	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,089.30 / $4,677.35	Facility		$707.95	$2,089.30	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $812.83	Professional		$331.13	$537.03	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $2,691.53	Facility		$512.86	$724.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $4,786.30	Professional		$323.59	$676.08	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,023.29 / $4,073.80	Professional		$281.84	$1,023.29	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $724.44 / $933.25 / $7,943.28	Professional	22	$724.44	$933.25	$7,943.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Facility		$3,715.35	$3,890.45	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $831.76 / $5,248.07	Professional		$263.03	$831.76	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $645.65 / $4,786.30	Professional		$281.84	$645.65	$4,786.30