Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.92 / $4,353.00 / $7,068.00	Facility		$594.92	$4,353.00	$7,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $607.11 / $1,166.52	Professional		$305.64	$607.11	$1,166.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $449.60 / $1,227.06	Professional		$278.24	$449.60	$1,227.06
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 $321.24 / $485.10 / $870.31	Professional		$321.24	$485.10	$870.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.45 / $905.45 / $905.45	Facility		$905.45	$905.45	$905.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $1,153.31	Facility		$541.16	$541.16	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.32 / $648.34 / $1,249.33	Professional		$358.32	$648.34	$1,249.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.58 / $707.49 / $1,478.71	Professional		$384.58	$707.49	$1,478.71
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 $426.97 / $789.12 / $1,240.89	Professional		$426.97	$789.12	$1,240.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,136.00 / $5,352.00	Facility		$1,162.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.25 / $750.23 / $1,371.90	Professional		$501.25	$750.23	$1,371.90