Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.45 / $3,336.50 / $6,915.00	Facility		$417.45	$3,336.50	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $458.43 / $903.45	Professional		$268.26	$458.43	$903.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $471.02 / $546.27	Professional		$294.23	$471.02	$546.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.61 / $554.49 / $955.36	Professional		$337.61	$554.49	$955.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.83 / $638.00 / $979.79	Facility		$595.83	$638.00	$979.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $634.26 / $1,029.29	Professional		$365.42	$634.26	$1,029.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.34 / $517.66 / $630.21	Professional		$343.34	$517.66	$630.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $517.60 / $548.69 / $813.55	Professional		$517.60	$548.69	$813.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.10 / $603.25 / $1,034.69	Professional		$439.10	$603.25	$1,034.69