Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.72 / $4,592.00 / $6,915.00	Facility		$438.72	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $401.20 / $723.46	Professional		$255.43	$401.20	$723.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.85 / $255.85 / $255.85	Professional		$255.85	$255.85	$255.85
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 $272.35 / $400.33 / $734.69	Professional		$272.35	$400.33	$734.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.76 / $572.76 / $572.76	Facility		$572.76	$572.76	$572.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $464.36 / $1,153.31	Facility		$464.36	$464.36	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.68 / $501.05 / $907.40	Professional		$309.68	$501.05	$907.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $491.15 / $1,013.85	Professional		$325.56	$491.15	$1,013.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.23 / $637.47 / $736.21	Professional		$423.23	$637.47	$736.21
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 $374.02 / $551.80 / $932.79	Professional		$374.02	$551.80	$932.79