Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.14 / $4,817.00 / $6,915.00	Facility		$863.14	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.60 / $674.79 / $1,314.81	Professional		$562.60	$674.79	$1,314.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.57 / $663.83 / $773.34	Professional		$282.57	$663.83	$773.34
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 $619.24 / $885.10 / $1,635.42	Professional		$619.24	$885.10	$1,635.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.44 / $1,331.73 / $1,811.55	Facility		$1,096.44	$1,331.73	$1,811.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $2,172.58	Facility		$721.65	$721.65	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.47 / $977.48 / $1,587.94	Professional		$646.47	$977.48	$1,587.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.44 / $984.45 / $1,567.15	Professional		$695.44	$984.45	$1,567.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $763.53 / $946.19 / $2,607.58	Professional		$763.53	$946.19	$2,607.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $830.02 / $1,428.10	Professional		$552.47	$830.02	$1,428.10