Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.82 / $4,592.00 / $6,915.00	Facility		$544.82	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $524.92 / $1,023.99	Professional		$335.38	$524.92	$1,023.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $446.52 / $446.52	Professional		$446.52	$446.52	$446.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.73 / $539.86 / $979.53	Professional		$363.73	$539.86	$979.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.08 / $762.39 / $1,065.72	Facility		$633.08	$762.39	$1,065.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $622.90 / $2,172.58	Facility		$622.90	$622.90	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.53 / $658.81 / $1,162.43	Professional		$421.53	$658.81	$1,162.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.32 / $633.38 / $1,265.70	Professional		$434.32	$633.38	$1,265.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $688.97 / $919.09	Professional		$498.05	$688.97	$919.09
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 $462.90 / $689.47 / $1,172.83	Professional		$462.90	$689.47	$1,172.83