Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,908.00 / $6,915.00	Facility		$984.00	$4,908.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.99 / $641.08 / $1,326.85	Professional		$523.99	$641.08	$1,326.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $564.62 / $700.30 / $1,048.27	Professional		$564.62	$700.30	$1,048.27
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 $564.62 / $848.65 / $1,468.73	Professional		$564.62	$848.65	$1,468.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $970.67 / $970.67 / $970.67	Facility		$970.67	$970.67	$970.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $2,172.58	Facility		$651.29	$651.29	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.83 / $922.77 / $1,466.11	Professional		$612.83	$922.77	$1,466.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.08 / $909.89 / $1,399.60	Professional		$621.08	$909.89	$1,399.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $858.32 / $988.09 / $2,435.26	Professional		$858.32	$988.09	$2,435.26
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 $510.45 / $842.12 / $1,313.62	Professional		$510.45	$842.12	$1,313.62