Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $3,295.00 / $6,915.00	Facility		$528.54	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $577.53 / $970.89	Professional		$301.51	$577.53	$970.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $982.45 / $1,155.83	Professional		$290.57	$982.45	$1,155.83
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 $378.81 / $649.67 / $1,210.54	Professional		$378.81	$649.67	$1,210.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.57 / $372.06 / $1,231.36	Facility		$297.57	$372.06	$1,231.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.34 / $684.81 / $723.25	Professional		$574.34	$684.81	$723.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $554.83 / $1,198.58	Professional		$289.52	$554.83	$1,198.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $684.81 / $1,127.09	Professional		$341.06	$684.81	$1,127.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $631.77 / $1,012.58	Professional		$341.06	$631.77	$1,012.58
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 $541.74 / $795.34 / $1,425.83	Professional		$541.74	$795.34	$1,425.83