Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.07 / $3,460.00 / $6,915.00	Facility		$346.07	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $462.82 / $962.49	Professional		$290.97	$462.82	$962.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
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 $275.62 / $450.86 / $814.30	Professional		$275.62	$450.86	$814.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.11 / $675.80 / $946.22	Facility		$567.11	$675.80	$946.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $560.45 / $974.44	Facility		$560.45	$560.45	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $527.90 / $1,026.59	Professional		$251.50	$527.90	$1,026.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $560.99 / $1,245.44	Professional		$379.75	$560.99	$1,245.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $508.09 / $783.80 / $902.20	Professional		$508.09	$783.80	$902.20
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 $320.94 / $553.55 / $1,158.13	Professional		$320.94	$553.55	$1,158.13