Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.79 / $3,825.77 / $6,900.00	Facility		$558.79	$3,825.77	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $527.24 / $1,174.03	Professional		$305.60	$527.24	$1,174.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $580.82 / $909.18	Professional		$293.35	$580.82	$909.18
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 $332.37 / $477.80 / $859.90	Professional		$332.37	$477.80	$859.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.62 / $698.24 / $1,041.77	Facility		$576.62	$698.24	$1,041.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $974.44	Facility		$562.73	$562.73	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $586.17 / $1,115.01	Professional		$350.50	$586.17	$1,115.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.76 / $619.90 / $1,280.53	Professional		$397.76	$619.90	$1,280.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.62 / $667.49 / $927.99	Professional		$453.62	$667.49	$927.99
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 $428.94 / $646.79 / $1,184.96	Professional		$428.94	$646.79	$1,184.96