Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.29 / $5,063.00 / $7,421.00	Facility		$634.29	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.86 / $484.00 / $1,006.26	Professional		$398.86	$484.00	$1,006.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $791.24 / $791.24 / $791.24	Professional		$791.24	$791.24	$791.24
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 $434.44 / $640.76 / $1,159.30	Professional		$434.44	$640.76	$1,159.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.31 / $669.31 / $669.31	Facility		$669.31	$669.31	$669.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $1,153.31	Facility		$509.99	$509.99	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.80 / $688.85 / $1,125.59	Professional		$456.80	$688.85	$1,125.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.73 / $745.16 / $1,108.11	Professional		$491.73	$745.16	$1,108.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $690.54 / $788.64 / $827.01	Professional		$690.54	$788.64	$827.01
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 $389.59 / $584.42 / $1,012.34	Professional		$389.59	$584.42	$1,012.34