Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.57 / $4,590.00 / $7,421.00	Facility		$600.57	$4,590.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.91 / $389.07 / $866.72	Professional		$311.91	$389.07	$866.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $424.83 / $624.16	Professional		$212.41	$424.83	$624.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.51 / $506.62 / $910.50	Professional		$345.51	$506.62	$910.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.30 / $708.60 / $1,006.08	Facility		$602.30	$708.60	$1,006.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.37 / $401.37 / $1,153.31	Facility		$401.37	$401.37	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.83 / $536.66 / $880.10	Professional		$361.83	$536.66	$880.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $568.41 / $870.36	Professional		$386.22	$568.41	$870.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $3,250.00	Facility		$2,363.12	$2,363.12	$3,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $555.54 / $649.54	Professional		$457.51	$555.54	$649.54
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 $299.36 / $506.85 / $888.41	Professional		$299.36	$506.85	$888.41