Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $7,413.10	Facility		$1,318.26	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $870.96 / $2,137.96	Professional		$114.82	$870.96	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $2,187.76	Professional		$114.82	$194.98	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,548.13	Facility		$549.54	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $912.01 / $1,905.46	Professional		$165.96	$912.01	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $1,230.27	Facility		$199.53	$616.60	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $2,089.30	Professional		$141.25	$346.74	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $933.25 / $2,089.30	Professional		$123.03	$933.25	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,344.23 / $3,630.78	Professional		$6.03	$2,344.23	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,548.82 / $3,162.28	Facility		$398.11	$1,548.82	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $933.25 / $2,041.74	Professional		$123.03	$933.25	$2,041.74