Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.50 / $4,829.00 / $6,915.00	Facility		$457.50	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $343.98 / $736.13	Professional		$284.50	$343.98	$736.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $556.85 / $556.85 / $556.85	Professional		$556.85	$556.85	$556.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $453.94 / $852.96	Professional		$306.98	$453.94	$852.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.80 / $676.82 / $920.66	Facility		$552.80	$676.82	$920.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $367.15 / $1,200.00	Facility		$367.15	$367.15	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.70 / $484.61 / $805.39	Professional		$316.70	$484.61	$805.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $526.96 / $796.47	Professional		$353.44	$526.96	$796.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $517.84 / $594.41	Professional		$477.29	$517.84	$594.41
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 $275.70 / $421.67 / $726.83	Professional		$275.70	$421.67	$726.83