Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.70 / $3,295.00 / $6,915.00	Facility		$577.70	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.55 / $553.04 / $1,021.13	Professional		$358.55	$553.04	$1,021.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $604.87 / $604.87	Professional		$604.87	$604.87	$604.87
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 $404.46 / $558.15 / $990.48	Professional		$404.46	$558.15	$990.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $699.56 / $851.97 / $1,263.92	Facility		$699.56	$851.97	$1,263.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.73 / $683.73 / $1,653.56	Facility		$683.73	$683.73	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.80 / $657.89 / $1,217.41	Professional		$412.80	$657.89	$1,217.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.35 / $726.06 / $1,499.82	Professional		$485.35	$726.06	$1,499.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $640.08 / $947.24 / $1,119.33	Professional		$640.08	$947.24	$1,119.33
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 $483.15 / $760.63 / $1,387.45	Professional		$483.15	$760.63	$1,387.45