Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.56 / $4,353.00 / $6,915.00	Facility		$505.56	$4,353.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $484.69 / $890.86	Professional		$295.29	$484.69	$890.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $477.35 / $954.71	Professional		$383.96	$477.35	$954.71
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 $312.41 / $466.74 / $849.55	Professional		$312.41	$466.74	$849.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $544.35 / $656.88 / $983.49	Facility		$544.35	$656.88	$983.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $535.53 / $2,172.58	Facility		$535.53	$535.53	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.96 / $586.69 / $1,047.18	Professional		$371.96	$586.69	$1,047.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $563.29 / $1,159.10	Professional		$374.21	$563.29	$1,159.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $428.26 / $628.28 / $841.69	Professional		$428.26	$628.28	$841.69
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 $431.00 / $636.94 / $1,073.11	Professional		$431.00	$636.94	$1,073.11