Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.58 / $4,467.00 / $6,915.00	Facility		$323.58	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $323.58 / $678.11	Professional		$269.50	$323.58	$678.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $132.16	Professional		$132.16	$132.16	$132.16
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 $278.60 / $420.43 / $767.93	Professional		$278.60	$420.43	$767.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.61 / $486.61 / $486.61	Facility		$486.61	$486.61	$486.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $1,153.31	Facility		$480.02	$480.02	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $476.58 / $761.88	Professional		$297.39	$476.58	$761.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $452.18 / $776.56	Professional		$320.58	$452.18	$776.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.27 / $496.07 / $1,238.29	Professional		$426.27	$496.07	$1,238.29
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 $278.83 / $442.81 / $709.09	Professional		$278.83	$442.81	$709.09