Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,549.93 / $19,498.45	Facility		$3,801.89	$9,549.93	$19,498.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,079.46 / $11,220.18 / $21,877.62	Facility	50	$7,079.46	$11,220.18	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,258.93	Professional		$407.38	$616.60	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $741.31	Professional		$363.08	$501.19	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $8,511.38	Facility		$933.25	$3,235.94	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,174.90	Professional		$457.09	$707.95	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $831.76	Facility		$478.63	$616.60	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $645.65	Professional		$398.11	$478.63	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,467.37 / $9,772.37	Facility		$616.60	$3,467.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,000.00	Professional		$416.87	$588.84	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,148.15	Professional		$436.52	$575.44	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Professional	22	$1,230.27	$1,230.27	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $32.36 / $32.36 / $41.69	Professional	80	$32.36	$32.36	$41.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.22 / $16.22 / $20.89	Professional	AS	$16.22	$16.22	$20.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $14,125.38	Facility		$6,456.54	$9,772.37	$14,125.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,047.13	Professional		$380.19	$812.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $15,848.93	Facility		$870.96	$6,309.57	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $933.25	Professional		$389.05	$512.86	$933.25