Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.12 / $3,295.00 / $6,915.00	Facility		$427.12	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $365.41 / $1,066.45	Professional		$115.06	$365.41	$1,066.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $121.19	Professional		$112.50	$112.50	$121.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $360.36 / $1,055.51	Professional		$144.43	$360.36	$1,055.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,370.93 / $1,370.93 / $1,370.93	Facility		$1,370.93	$1,370.93	$1,370.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $219.44 / $974.44	Facility		$219.44	$219.44	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $333.12 / $1,029.43	Professional		$137.90	$333.12	$1,029.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $426.01 / $1,378.34	Professional		$150.55	$426.01	$1,378.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $559.45 / $686.61	Professional		$192.33	$559.45	$686.61
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.66 / $687.18 / $1,135.92	Professional		$365.66	$687.18	$1,135.92