Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $2,760.00 / $6,915.00	Facility		$501.47	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $501.47 / $967.58	Professional		$403.45	$501.47	$967.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $214.52 / $214.52	Professional		$214.52	$214.52	$214.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $643.60 / $1,189.41	Professional		$443.15	$643.60	$1,189.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.77 / $965.87 / $1,313.85	Facility		$790.77	$965.87	$1,313.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $640.00 / $773.83	Facility		$177.38	$640.00	$773.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.52 / $693.41 / $1,191.58	Professional		$452.52	$693.41	$1,191.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $698.25 / $1,220.54	Professional		$527.29	$698.25	$1,220.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $731.73 / $855.03 / $910.92	Professional		$731.73	$855.03	$910.92
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 $420.29 / $626.51 / $1,108.91	Professional		$420.29	$626.51	$1,108.91