Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.50 / $4,592.00 / $7,421.00	Facility		$907.50	$4,592.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.05 / $526.84 / $1,033.58	Professional		$312.05	$526.84	$1,033.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.66 / $682.82 / $1,809.85	Professional		$297.66	$682.82	$1,809.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.71 / $582.19 / $1,118.20	Professional		$339.71	$582.19	$1,118.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $975.63 / $975.63 / $975.63	Facility		$975.63	$975.63	$975.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $1,653.56	Facility		$390.06	$390.06	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $671.66 / $1,107.78	Professional		$373.13	$671.66	$1,107.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.97 / $558.37 / $895.00	Professional		$369.97	$558.37	$895.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.65 / $589.69 / $1,415.57	Professional		$513.65	$589.69	$1,415.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.24 / $630.44 / $918.88	Professional		$319.24	$630.44	$918.88