Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.14 / $2,950.00 / $6,900.00	Facility		$576.14	$2,950.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $551.14 / $1,040.90	Professional		$318.95	$551.14	$1,040.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.82 / $603.22 / $1,335.07	Professional		$315.82	$603.22	$1,335.07
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 $336.59 / $493.04 / $911.91	Professional		$336.59	$493.04	$911.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $877.36 / $877.36 / $877.36	Facility		$877.36	$877.36	$877.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $569.77 / $974.44	Facility		$569.77	$569.77	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.16 / $642.21 / $1,168.38	Professional		$380.16	$642.21	$1,168.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.99 / $641.52 / $1,331.75	Professional		$403.99	$641.52	$1,331.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.58 / $774.72 / $1,111.04	Professional		$502.58	$774.72	$1,111.04
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 $467.51 / $785.27 / $1,236.18	Professional		$467.51	$785.27	$1,236.18