Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.10 / $5,045.00 / $7,421.00	Facility		$671.10	$5,045.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.70 / $711.55 / $1,473.20	Professional		$580.70	$711.55	$1,473.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.27 / $498.27 / $498.27	Professional		$498.27	$498.27	$498.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.98 / $970.80 / $1,621.60	Professional		$570.98	$970.80	$1,621.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,014.23 / $1,192.71 / $1,683.08	Facility		$1,014.23	$1,192.71	$1,683.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $654.41 / $2,500.00	Facility		$500.00	$654.41	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.51 / $1,084.97 / $1,671.43	Professional		$724.51	$1,084.97	$1,671.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.84 / $956.91 / $1,800.16	Professional		$622.84	$956.91	$1,800.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $883.31 / $990.89 / $2,519.73	Professional		$883.31	$990.89	$2,519.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $955.81 / $1,482.76	Professional		$591.00	$955.81	$1,482.76