Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.39 / $4,592.00 / $6,915.00	Facility		$610.39	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.19 / $593.21 / $1,206.60	Professional		$402.19	$593.21	$1,206.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.10 / $336.10 / $522.21	Professional		$336.10	$336.10	$522.21
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 $425.24 / $608.10 / $1,100.20	Professional		$425.24	$608.10	$1,100.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.39 / $895.83 / $1,218.58	Facility		$740.39	$895.83	$1,218.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.27 / $729.27 / $2,172.58	Facility		$729.27	$729.27	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $729.48 / $1,308.79	Professional		$481.35	$729.48	$1,308.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.34 / $723.06 / $1,412.33	Professional		$510.34	$723.06	$1,412.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.47 / $786.77 / $1,025.57	Professional		$582.47	$786.77	$1,025.57
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 $513.13 / $758.55 / $1,302.23	Professional		$513.13	$758.55	$1,302.23