Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.14 / $4,195.00 / $6,915.00	Facility		$452.14	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $452.14 / $999.49	Professional		$299.77	$452.14	$999.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $539.12 / $789.65	Professional		$293.77	$539.12	$789.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $443.35 / $798.88	Professional		$308.77	$443.35	$798.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.78 / $620.78 / $620.78	Facility		$620.78	$620.78	$620.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $522.41 / $974.44	Facility		$522.41	$522.41	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.71 / $526.04 / $908.52	Professional		$344.71	$526.04	$908.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.13 / $538.32 / $1,054.27	Professional		$369.13	$538.32	$1,054.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $548.97 / $548.97 / $759.04	Professional		$548.97	$548.97	$759.04
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 $375.84 / $560.51 / $957.86	Professional		$375.84	$560.51	$957.86