Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.85 / $3,562.00 / $6,915.00	Facility		$450.85	$3,562.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $434.28 / $834.80	Professional		$275.23	$434.28	$834.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $283.27 / $543.00	Professional		$265.22	$283.27	$543.00
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 $293.08 / $438.33 / $797.02	Professional		$293.08	$438.33	$797.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.86 / $616.08 / $888.89	Facility		$511.86	$616.08	$888.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $504.27 / $2,172.58	Facility		$504.27	$504.27	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $533.22 / $957.03	Professional		$349.99	$533.22	$957.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.96 / $511.82 / $1,028.75	Professional		$350.96	$511.82	$1,028.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $541.07 / $767.79	Professional		$453.66	$541.07	$767.79
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 $382.94 / $568.28 / $951.27	Professional		$382.94	$568.28	$951.27