Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.41 / $3,391.00 / $6,915.00	Facility		$810.41	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.13 / $381.74 / $810.41	Professional		$312.13	$381.74	$810.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $599.38 / $599.38 / $628.70	Professional		$599.38	$599.38	$628.70
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 $338.88 / $492.48 / $880.34	Professional		$338.88	$492.48	$880.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.60 / $418.60 / $418.60	Facility		$418.60	$418.60	$418.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $974.44	Facility		$385.74	$385.74	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $540.27 / $877.38	Professional		$359.56	$540.27	$877.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $541.80 / $1,862.00	Professional		$372.49	$541.80	$1,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $598.87 / $598.87 / $609.53	Professional		$598.87	$598.87	$609.53
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 $298.17 / $476.99 / $762.63	Professional		$298.17	$476.99	$762.63