Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.23 / $4,592.00 / $6,915.00	Facility		$845.23	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.53 / $499.00 / $1,112.69	Professional		$396.53	$499.00	$1,112.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $611.72 / $611.72 / $863.58	Professional		$611.72	$611.72	$863.58
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 $472.29 / $713.16 / $1,261.80	Professional		$472.29	$713.16	$1,261.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.10 / $979.79 / $1,472.67	Facility		$815.10	$979.79	$1,472.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $536.27 / $1,653.56	Facility		$536.27	$536.27	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.47 / $815.89 / $1,209.31	Professional		$531.47	$815.89	$1,209.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $744.22 / $1,153.02	Professional		$511.65	$744.22	$1,153.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $830.11 / $830.11 / $837.25	Professional		$830.11	$830.11	$837.25
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.30 / $761.37 / $1,214.36	Professional		$408.30	$761.37	$1,214.36