Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.95 / $4,592.00 / $6,915.00	Facility		$451.95	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $401.40 / $787.60	Professional		$219.67	$401.40	$787.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.47 / $254.47 / $485.66	Professional		$254.47	$254.47	$485.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $392.30 / $720.10	Professional		$172.75	$392.30	$720.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.62 / $698.62 / $698.62	Facility		$698.62	$698.62	$698.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $1,153.31	Facility		$240.69	$240.69	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $524.63 / $827.35	Professional		$246.33	$524.63	$827.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $286.85 / $697.71	Professional		$164.47	$286.85	$697.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $369.68 / $589.51	Professional		$213.81	$369.68	$589.51
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 $390.94 / $578.85 / $891.84	Professional		$390.94	$578.85	$891.84