Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.67 / $10,269.00 / $20,468.00	Facility		$955.67	$10,269.00	$20,468.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,932.50 / $32,391.00 / $32,391.00	Facility	50	$17,932.50	$32,391.00	$32,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.80 / $857.74 / $1,784.25	Professional		$581.80	$857.74	$1,784.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $835.19 / $1,000.39 / $1,043.80	Professional		$835.19	$1,000.39	$1,043.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.54 / $5,905.55 / $12,926.58	Facility		$1,298.54	$5,905.55	$12,926.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.47 / $974.69 / $1,718.22	Professional		$641.47	$974.69	$1,718.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.60 / $781.30 / $1,262.63	Facility		$646.60	$781.30	$1,262.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.48 / $902.97 / $1,575.03	Professional		$891.48	$902.97	$1,575.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,774.00 / $17,740.00 / $23,653.00	Facility		$4,774.00	$17,740.00	$23,653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $1,117.26 / $1,880.65	Professional		$655.23	$1,117.26	$1,880.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.65 / $864.66 / $2,345.46	Professional		$674.65	$864.66	$2,345.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,584.00 / $5,584.00 / $9,180.40	Facility		$5,584.00	$5,584.00	$9,180.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $849.06 / $933.27 / $1,287.88	Professional		$849.06	$933.27	$1,287.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,000.00 / $18,613.00	Facility		$1,998.00	$10,000.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.11 / $1,193.53 / $1,931.39	Professional		$763.11	$1,193.53	$1,931.39