Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.41 / $4,829.00 / $6,915.00	Facility		$944.41	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $646.65 / $1,322.62	Professional		$533.23	$646.65	$1,322.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.27 / $569.65 / $1,121.76	Professional		$370.27	$569.65	$1,121.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.51 / $888.30 / $1,566.60	Professional		$605.51	$888.30	$1,566.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.94 / $1,235.22 / $1,731.24	Facility		$1,049.94	$1,235.22	$1,731.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $2,172.58	Facility		$688.92	$688.92	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.01 / $942.55 / $1,527.14	Professional		$624.01	$942.55	$1,527.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.62 / $1,010.72 / $1,640.48	Professional		$664.62	$1,010.72	$1,640.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $889.63 / $968.40 / $1,117.77	Professional		$889.63	$968.40	$1,117.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $842.31 / $1,372.50	Professional		$528.54	$842.31	$1,372.50