Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.50 / $3,295.00 / $6,915.00	Facility		$560.50	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $544.79 / $1,094.14	Professional		$361.56	$544.79	$1,094.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $677.53 / $716.85	Professional		$474.41	$677.53	$716.85
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 $390.46 / $569.21 / $1,064.47	Professional		$390.46	$569.21	$1,064.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.63 / $813.33 / $1,168.33	Facility		$672.63	$813.33	$1,168.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.20 / $658.20 / $1,653.56	Facility		$658.20	$658.20	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $667.13 / $1,157.68	Professional		$436.16	$667.13	$1,157.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.33 / $663.35 / $1,264.88	Professional		$463.33	$663.35	$1,264.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.34 / $796.03 / $1,681.54	Professional		$602.34	$796.03	$1,681.54
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 $469.58 / $718.19 / $1,178.66	Professional		$469.58	$718.19	$1,178.66