Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.00 / $4,592.00 / $6,915.00	Facility		$708.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.24 / $689.56 / $1,389.77	Professional		$457.24	$689.56	$1,389.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $896.72 / $922.51	Professional		$267.99	$896.72	$922.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.57 / $737.34 / $1,379.15	Professional		$512.57	$737.34	$1,379.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.22 / $1,075.25 / $1,529.85	Facility		$890.22	$1,075.25	$1,529.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $1,653.56	Facility		$868.02	$868.02	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.19 / $861.54 / $1,471.38	Professional		$554.19	$861.54	$1,471.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.54 / $863.99 / $1,647.44	Professional		$612.54	$863.99	$1,647.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $821.08 / $1,053.18 / $1,229.53	Professional		$821.08	$1,053.18	$1,229.53
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 $596.04 / $919.13 / $1,521.64	Professional		$596.04	$919.13	$1,521.64