Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.92 / $3,460.00 / $6,915.00	Facility		$711.92	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.77 / $526.41 / $999.68	Professional		$434.77	$526.41	$999.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $907.71 / $907.71 / $907.71	Professional		$907.71	$907.71	$907.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.34 / $699.45 / $1,265.48	Professional		$484.34	$699.45	$1,265.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.22 / $1,029.85 / $1,400.91	Facility		$842.22	$1,029.85	$1,400.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $2,172.58	Facility		$558.35	$558.35	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $738.65 / $1,225.49	Professional		$497.17	$738.65	$1,225.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.79 / $759.00 / $1,211.92	Professional		$537.79	$759.00	$1,211.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.69 / $736.02 / $880.03	Professional		$630.69	$736.02	$880.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.41 / $644.73 / $1,105.06	Professional		$422.41	$644.73	$1,105.06