Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $5,045.00 / $6,915.00	Facility		$767.64	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.72 / $849.42 / $1,493.40	Professional		$693.72	$849.42	$1,493.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.90 / $1,348.90 / $1,348.90	Professional		$1,348.90	$1,348.90	$1,348.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.45 / $1,176.86 / $2,090.94	Professional		$771.45	$1,176.86	$2,090.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.50 / $1,102.50 / $1,102.50	Facility		$1,102.50	$1,102.50	$1,102.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.09 / $720.09 / $720.09	Professional		$720.09	$720.09	$720.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $876.60	Facility		$200.00	$617.00	$876.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,167.96 / $1,835.74	Professional		$739.50	$1,167.96	$1,835.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.42 / $996.35 / $1,769.20	Professional		$766.42	$996.35	$1,769.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $1,296.70 / $1,619.24	Professional		$649.92	$1,296.70	$1,619.24
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.07 / $1,028.70 / $1,723.23	Professional		$726.07	$1,028.70	$1,723.23