Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.66 / $3,911.00 / $6,915.00	Facility		$544.66	$3,911.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $529.25 / $1,079.99	Professional		$331.84	$529.25	$1,079.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $345.73 / $663.64	Professional		$169.48	$345.73	$663.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.51 / $537.28 / $977.66	Professional		$359.51	$537.28	$977.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $752.94 / $1,052.69	Facility		$624.74	$752.94	$1,052.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $614.42 / $2,172.58	Facility		$614.42	$614.42	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.37 / $651.29 / $1,144.08	Professional		$419.37	$651.29	$1,144.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.94 / $625.54 / $1,244.19	Professional		$428.94	$625.54	$1,244.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $625.53 / $879.46	Professional		$321.70	$625.53	$879.46
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 $456.47 / $678.46 / $1,155.19	Professional		$456.47	$678.46	$1,155.19