Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.43 / $4,329.00 / $6,915.00	Facility		$481.43	$4,329.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $460.62 / $825.01	Professional		$269.77	$460.62	$825.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $277.85	Professional		$277.85	$277.85	$277.85
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 $293.18 / $431.92 / $791.60	Professional		$293.18	$431.92	$791.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.12 / $619.16 / $912.21	Facility		$512.12	$619.16	$912.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $503.76 / $2,172.58	Facility		$503.76	$503.76	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $545.34 / $991.03	Professional		$336.26	$545.34	$991.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.73 / $540.54 / $1,114.72	Professional		$352.73	$540.54	$1,114.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $602.91 / $809.46	Professional		$402.93	$602.91	$809.46
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 $406.90 / $593.84 / $1,030.41	Professional		$406.90	$593.84	$1,030.41