Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.11 / $4,613.00 / $7,421.00	Facility		$504.11	$4,613.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $490.19 / $992.29	Professional		$326.72	$490.19	$992.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $635.20 / $661.30 / $951.78	Professional		$635.20	$661.30	$951.78
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 $345.55 / $514.96 / $898.57	Professional		$345.55	$514.96	$898.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $606.32 / $729.32 / $992.09	Facility		$606.32	$729.32	$992.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $1,653.56	Facility		$596.92	$596.92	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.29 / $612.15 / $1,098.81	Professional		$393.29	$612.15	$1,098.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $605.90 / $1,163.61	Professional		$415.48	$605.90	$1,163.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $422.48 / $620.91 / $844.96	Professional		$422.48	$620.91	$844.96
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 $430.44 / $641.24 / $1,069.81	Professional		$430.44	$641.24	$1,069.81