Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.17 / $4,368.00 / $6,915.00	Facility		$601.17	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $394.84 / $770.79	Professional		$332.92	$394.84	$770.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $175.27 / $694.37	Professional		$175.27	$175.27	$694.37
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 $366.37 / $558.41 / $956.35	Professional		$366.37	$558.41	$956.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.08 / $787.80 / $1,071.65	Facility		$646.08	$787.80	$1,071.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $1,153.31	Facility		$426.66	$426.66	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.02 / $562.29 / $937.90	Professional		$353.02	$562.29	$937.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.40 / $613.95 / $927.08	Professional		$411.40	$613.95	$927.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.69 / $595.91 / $691.90	Professional		$592.69	$595.91	$691.90
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 $327.30 / $544.45 / $930.36	Professional		$327.30	$544.45	$930.36