Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.62 / $4,537.50 / $7,421.00	Facility		$551.62	$4,537.50	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.67 / $532.90 / $1,121.66	Professional		$348.67	$532.90	$1,121.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $231.87 / $705.58	Professional		$178.36	$231.87	$705.58
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 $377.77 / $528.87 / $970.86	Professional		$377.77	$528.87	$970.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.29 / $641.29 / $641.29	Facility		$641.29	$641.29	$641.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $1,153.31	Facility		$647.41	$647.41	$1,153.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.99 / $629.12 / $1,163.20	Professional		$404.99	$629.12	$1,163.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.05 / $642.27 / $1,297.77	Professional		$456.05	$642.27	$1,297.77
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.07 / $15.07 / $20.76	Professional	AS	$15.07	$15.07	$20.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $599.11 / $769.93 / $968.57	Professional		$599.11	$769.93	$968.57
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 $438.27 / $635.86 / $1,179.08	Professional		$438.27	$635.86	$1,179.08