Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.67 / $2,760.00 / $6,915.00	Facility		$409.67	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $400.37 / $794.58	Professional		$328.36	$400.37	$794.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $821.79 / $821.79 / $821.79	Professional		$821.79	$821.79	$821.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.11 / $520.61 / $936.14	Professional		$341.11	$520.61	$936.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.20 / $765.63 / $1,071.48	Facility		$642.20	$765.63	$1,071.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $628.65 / $640.00	Facility		$177.38	$628.65	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.92 / $532.29 / $964.68	Professional		$350.92	$532.29	$964.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.03 / $523.52 / $1,014.08	Professional		$430.03	$523.52	$1,014.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.37 / $624.53 / $748.49	Professional		$531.37	$624.53	$748.49
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $478.84 / $923.71	Professional		$330.17	$478.84	$923.71