Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.60 / $3,680.80 / $6,726.00	Facility		$405.60	$3,680.80	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.57 / $393.64 / $839.91	Professional		$249.57	$393.64	$839.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $245.11 / $454.82	Professional		$245.11	$245.11	$454.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.29 / $390.29 / $707.83	Professional		$260.29	$390.29	$707.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.77 / $544.35 / $740.48	Facility		$451.77	$544.35	$740.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $444.78 / $974.44	Facility		$444.78	$444.78	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.57 / $472.32 / $868.94	Professional		$300.57	$472.32	$868.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.10 / $452.24 / $916.38	Professional		$310.10	$452.24	$916.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $466.68 / $665.43	Professional		$332.71	$466.68	$665.43
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $491.02 / $853.59	Professional		$331.24	$491.02	$853.59