Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.84 / $4,195.00 / $6,915.00	Facility		$750.84	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $604.27 / $1,305.35	Professional		$466.69	$604.27	$1,305.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $674.33 / $749.25 / $984.09	Professional		$674.33	$749.25	$984.09
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 $495.14 / $742.04 / $1,362.17	Professional		$495.14	$742.04	$1,362.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $818.95 / $818.95	Facility		$818.95	$818.95	$818.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $974.44	Facility		$604.47	$604.47	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.51 / $790.50 / $1,335.28	Professional		$518.51	$790.50	$1,335.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.05 / $854.01 / $1,313.89	Professional		$583.05	$854.01	$1,313.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $8,250.00	Facility		$2,363.12	$2,363.12	$8,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $755.22 / $870.26 / $980.59	Professional		$755.22	$870.26	$980.59
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 $463.54 / $686.69 / $1,205.20	Professional		$463.54	$686.69	$1,205.20