Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.26 / $4,592.00 / $7,421.00	Facility		$724.26	$4,592.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.77 / $626.27 / $1,201.79	Professional		$347.77	$626.27	$1,201.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $317.75 / $516.59	Professional		$158.87	$317.75	$516.59
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 $273.24 / $680.42 / $1,191.21	Professional		$273.24	$680.42	$1,191.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $989.33 / $989.33 / $989.33	Facility		$989.33	$989.33	$989.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $442.24 / $2,172.58	Facility		$442.24	$442.24	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.22 / $871.72 / $1,305.54	Professional		$414.22	$871.72	$1,305.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.73 / $473.62 / $1,146.08	Professional		$301.73	$473.62	$1,146.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.76 / $569.45 / $1,076.89	Professional		$390.76	$569.45	$1,076.89
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 $603.76 / $883.62 / $1,380.59	Professional		$603.76	$883.62	$1,380.59