Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.32 / $4,613.00 / $6,915.00	Facility		$683.32	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $460.75 / $935.43	Professional		$376.54	$460.75	$935.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $808.96 / $808.96 / $808.96	Professional		$808.96	$808.96	$808.96
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 $422.22 / $619.82 / $1,092.39	Professional		$422.22	$619.82	$1,092.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.89 / $689.89 / $689.89	Facility		$689.89	$689.89	$689.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $2,172.58	Facility		$483.58	$483.58	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.08 / $671.47 / $1,072.89	Professional		$459.08	$671.47	$1,072.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.89 / $676.00 / $1,049.89	Professional		$465.89	$676.00	$1,049.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $670.94 / $755.87 / $783.55	Professional		$670.94	$755.87	$783.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.86 / $586.85 / $957.03	Professional		$374.86	$586.85	$957.03