Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.50 / $4,590.00 / $6,915.00	Facility		$850.50	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $676.62 / $1,122.60	Professional		$528.94	$676.62	$1,122.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,014.93 / $1,014.93 / $1,014.93	Professional	50	$1,014.93	$1,014.93	$1,014.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,079.93 / $1,079.93 / $1,079.93	Professional		$1,079.93	$1,079.93	$1,079.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.50 / $781.77 / $1,457.73	Professional		$523.50	$781.77	$1,457.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $785.25 / $1,172.66 / $2,186.59	Professional	50	$785.25	$1,172.66	$2,186.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.88 / $1,225.25 / $74,999.25	Facility		$1,007.88	$1,225.25	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.67 / $826.88 / $1,538.36	Professional		$551.67	$826.88	$1,538.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.84 / $930.67 / $4,688.05	Professional		$639.84	$930.67	$4,688.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.98 / $956.95 / $2,094.36	Professional		$761.98	$956.95	$2,094.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.96 / $738.41 / $1,328.29	Professional		$535.96	$738.41	$1,328.29