Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.99 / $2,042.06 / $3,295.37	Professional		$442.99	$2,042.06	$3,295.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $664.97 / $664.97 / $3,613.95	Professional		$664.97	$664.97	$3,613.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.58 / $607.01 / $1,227.70	Professional		$433.58	$607.01	$1,227.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.28 / $870.92 / $74,999.25	Facility		$740.28	$870.92	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $3,253.46 / $4,096.95	Facility		$778.00	$3,253.46	$4,096.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.89 / $2,030.09 / $4,904.21	Professional		$448.89	$2,030.09	$4,904.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $2,288.07 / $17,562.00	Professional		$493.36	$2,288.07	$17,562.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $2,571.25 / $3,631.16	Professional		$562.00	$2,571.25	$3,631.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,186.76 / $3,089.24 / $5,047.64	Professional		$2,186.76	$3,089.24	$5,047.64