Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.13 / $2,950.00 / $6,915.00	Facility		$543.13	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $489.18 / $1,031.79	Professional		$302.02	$489.18	$1,031.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.62 / $281.62 / $563.23	Professional		$281.62	$281.62	$563.23
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 $318.81 / $482.93 / $861.56	Professional		$318.81	$482.93	$861.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.44 / $670.29 / $911.78	Facility		$552.44	$670.29	$911.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.62 / $539.62 / $974.44	Facility		$539.62	$539.62	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.63 / $589.57 / $1,151.74	Professional		$362.63	$589.57	$1,151.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.85 / $554.41 / $1,249.24	Professional		$381.85	$554.41	$1,249.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $496.40 / $786.18 / $905.85	Professional		$496.40	$786.18	$905.85
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,392.00	Facility		$625.00	$3,218.00	$5,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.29 / $625.14 / $1,162.82	Professional		$402.29	$625.14	$1,162.82