Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.60 / $4,592.00 / $6,915.00	Facility		$485.60	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $485.60 / $1,032.70	Professional		$288.88	$485.60	$1,032.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $570.50 / $923.60	Professional		$290.97	$570.50	$923.60
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 $308.02 / $457.80 / $837.13	Professional		$308.02	$457.80	$837.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.28 / $647.25 / $938.97	Facility		$536.28	$647.25	$938.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $527.62 / $1,153.31	Facility		$527.62	$527.62	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.90 / $558.91 / $1,028.28	Professional		$361.90	$558.91	$1,028.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $544.60 / $1,119.80	Professional		$368.74	$544.60	$1,119.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $479.35 / $703.05 / $813.16	Professional		$479.35	$703.05	$813.16
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 $412.94 / $609.04 / $1,038.14	Professional		$412.94	$609.04	$1,038.14