Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.19 / $4,338.00 / $6,915.00	Facility		$426.19	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.32 / $482.27 / $1,111.60	Professional		$403.32	$482.27	$1,111.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $425.41 / $425.41	Professional		$397.11	$425.41	$425.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.75 / $692.07 / $1,136.02	Professional		$417.75	$692.07	$1,136.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.68 / $875.90 / $1,191.48	Facility		$724.68	$875.90	$1,191.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $707.13 / $2,500.00	Facility		$177.38	$707.13	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.55 / $724.70 / $1,155.61	Professional		$488.55	$724.70	$1,155.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.08 / $665.31 / $1,043.53	Professional		$463.08	$665.31	$1,043.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $668.41 / $742.63 / $778.81	Professional		$668.41	$742.63	$778.81
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.01 / $657.20 / $1,049.08	Professional		$402.01	$657.20	$1,049.08