Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.16 / $5,045.00 / $9,036.00	Facility		$1,380.16	$5,045.00	$9,036.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.98 / $1,040.14 / $1,912.66	Professional		$824.98	$1,040.14	$1,912.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $846.23 / $1,519.65 / $1,738.67	Professional		$846.23	$1,519.65	$1,738.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $3,640.00 / $8,094.63	Facility		$1,078.17	$3,640.00	$8,094.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $1,201.71 / $2,165.94	Professional		$860.74	$1,201.71	$2,165.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.81 / $1,813.10 / $74,999.25	Facility		$1,494.81	$1,813.10	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $5,008.00 / $9,852.00	Facility		$2,116.42	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.43 / $1,308.29 / $2,308.42	Professional		$861.43	$1,308.29	$2,308.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.81 / $1,397.00 / $6,979.34	Professional		$946.81	$1,397.00	$6,979.34
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $60.69 / $60.69 / $60.69	Professional	80	$60.69	$60.69	$60.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.34 / $30.34 / $30.34	Professional	AS	$30.34	$30.34	$30.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.57 / $1,419.27 / $3,106.17	Professional		$1,127.57	$1,419.27	$3,106.17
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 $871.24 / $1,174.78 / $1,988.37	Professional		$871.24	$1,174.78	$1,988.37