Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.70 / $2,987.00 / $6,915.00	Facility		$384.70	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.03 / $384.70 / $841.97	Professional		$243.03	$384.70	$841.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.29 / $462.29 / $462.29	Professional		$462.29	$462.29	$462.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $372.82 / $674.53	Professional		$260.70	$372.82	$674.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $385.86 / $385.86 / $385.86	Facility		$385.86	$385.86	$385.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.23 / $441.64 / $2,500.00	Facility		$346.23	$441.64	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $463.20 / $761.20	Professional		$294.35	$463.20	$761.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.36 / $441.39 / $2,134.00	Professional		$300.36	$441.39	$2,134.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $653.63 / $653.63 / $660.52	Professional		$653.63	$653.63	$660.52
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $445.83 / $826.41	Professional		$317.02	$445.83	$826.41