Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $3,963.00 / $6,915.00	Facility		$1,194.00	$3,963.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $831.40 / $2,058.48	Professional		$116.17	$831.40	$2,058.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $214.28 / $235.78	Professional		$168.29	$214.28	$235.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $905.52 / $2,526.21	Professional		$153.37	$905.52	$2,526.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,539.39 / $1,539.39 / $1,539.39	Facility		$1,539.39	$1,539.39	$1,539.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $109.67 / $109.67	Professional		$109.67	$109.67	$109.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $1,232.11	Facility		$200.00	$589.00	$1,232.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $348.19 / $2,355.04	Professional		$150.99	$348.19	$2,355.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $1,160.78 / $2,717.52	Professional		$132.91	$1,160.78	$2,717.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $3,663.40	Professional		$6.00	$6.00	$3,663.40
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.19 / $1,513.22 / $2,806.42	Professional		$1,025.19	$1,513.22	$2,806.42