Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.21 / $4,468.00 / $6,915.00	Facility		$917.21	$4,468.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.98 / $593.54 / $1,362.70	Professional		$471.98	$593.54	$1,362.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $927.80 / $933.07 / $978.73	Professional		$927.80	$933.07	$978.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.44 / $727.94 / $1,364.23	Professional		$474.44	$727.94	$1,364.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.03 / $613.03 / $613.03	Facility		$613.03	$613.03	$613.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.70 / $601.70 / $1,653.56	Facility		$601.70	$601.70	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.22 / $727.77 / $1,361.42	Professional		$466.22	$727.77	$1,361.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.88 / $832.87 / $1,306.73	Professional		$579.88	$832.87	$1,306.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $940.79 / $940.79 / $940.79	Professional		$940.79	$940.79	$940.79
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 $424.20 / $614.02 / $1,199.29	Professional		$424.20	$614.02	$1,199.29