Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.51 / $5,063.00 / $7,421.00	Facility		$824.51	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.32 / $564.97 / $1,134.43	Professional		$465.32	$564.97	$1,134.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $859.57 / $859.57 / $968.83	Professional		$859.57	$859.57	$968.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.78 / $747.61 / $1,351.50	Professional		$520.78	$747.61	$1,351.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.89 / $780.89 / $780.89	Facility		$780.89	$780.89	$780.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $1,153.31	Facility		$595.16	$595.16	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.52 / $802.80 / $1,313.87	Professional		$532.52	$802.80	$1,313.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.01 / $867.27 / $1,293.53	Professional		$574.01	$867.27	$1,293.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,178.87 / $2,500.00	Facility		$2,178.87	$2,178.87	$2,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.31 / $818.74 / $931.28	Professional		$769.31	$818.74	$931.28
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 $454.32 / $717.47 / $1,327.85	Professional		$454.32	$717.47	$1,327.85