Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.93 / $4,592.00 / $6,915.00	Facility		$427.93	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $452.88 / $833.62	Professional		$227.38	$452.88	$833.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $304.73 / $351.62	Professional		$158.22	$304.73	$351.62
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 $298.20 / $517.65 / $983.30	Professional		$298.20	$517.65	$983.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.35 / $741.35 / $741.35	Facility		$741.35	$741.35	$741.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.91 / $421.91 / $1,653.56	Facility		$421.91	$421.91	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $523.47 / $1,043.21	Professional		$285.85	$523.47	$1,043.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $543.11 / $1,125.25	Professional		$296.27	$543.11	$1,125.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.93 / $701.64 / $839.81	Professional		$385.93	$701.64	$839.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.54 / $632.15 / $1,036.07	Professional		$416.54	$632.15	$1,036.07