Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $3,164.00 / $6,915.00	Facility		$695.75	$3,164.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.57 / $600.27 / $1,152.51	Professional		$447.57	$600.27	$1,152.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $711.41 / $963.98	Professional		$343.85	$711.41	$963.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.08 / $718.80 / $1,389.15	Professional		$484.08	$718.80	$1,389.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.39 / $705.39 / $705.39	Facility		$705.39	$705.39	$705.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $1,272.50	Facility		$576.94	$576.94	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.96 / $782.81 / $1,380.07	Professional		$507.96	$782.81	$1,380.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $807.52 / $1,459.59	Professional		$580.41	$807.52	$1,459.59
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $46.71 / $46.71 / $46.71	Professional	80	$46.71	$46.71	$46.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.35 / $23.35 / $23.35	Professional	AS	$23.35	$23.35	$23.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.26 / $777.36 / $933.70	Professional		$645.26	$777.36	$933.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.54 / $663.64 / $1,319.60	Professional		$444.54	$663.64	$1,319.60