Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.94 / $5,045.00 / $6,915.00	Facility		$860.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.06 / $600.04 / $1,268.85	Professional		$484.06	$600.04	$1,268.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.65 / $515.65 / $515.65	Professional		$515.65	$515.65	$515.65
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 $536.83 / $791.87 / $1,388.91	Professional		$536.83	$791.87	$1,388.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.48 / $1,137.35 / $1,547.15	Facility		$947.48	$1,137.35	$1,547.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $2,172.58	Facility		$614.15	$614.15	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.10 / $862.58 / $1,386.18	Professional		$558.10	$862.58	$1,386.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.95 / $875.11 / $1,338.44	Professional		$593.95	$875.11	$1,338.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $810.97 / $960.74 / $2,372.25	Professional		$810.97	$960.74	$2,372.25
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 $487.44 / $785.64 / $1,216.02	Professional		$487.44	$785.64	$1,216.02