Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.77 / $2,950.00 / $6,915.00	Facility		$580.77	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.62 / $634.60 / $1,082.92	Professional		$335.62	$634.60	$1,082.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $597.07 / $632.65 / $1,229.98	Professional		$597.07	$632.65	$1,229.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.70 / $697.91 / $1,214.45	Professional		$399.70	$697.91	$1,214.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.23 / $414.19 / $1,373.72	Facility		$331.23	$414.19	$1,373.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.28 / $728.74 / $770.24	Professional		$612.28	$728.74	$770.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.66 / $607.40 / $1,275.52	Professional		$322.66	$607.40	$1,275.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $728.74 / $1,235.15	Professional		$379.68	$728.74	$1,235.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $673.51 / $1,079.58	Professional		$379.68	$673.51	$1,079.58
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.54 / $854.94 / $1,571.82	Professional		$591.54	$854.94	$1,571.82