Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $3,295.00 / $6,915.00	Facility		$496.89	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.94 / $482.83 / $995.56	Professional		$309.94	$482.83	$995.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $410.45 / $669.12	Professional		$205.22	$410.45	$669.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,081.88 / $6,315.83	Facility		$1,082.02	$3,081.88	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $495.23 / $905.40	Professional		$333.45	$495.23	$905.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.92 / $702.29 / $968.16	Facility		$581.92	$702.29	$968.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.39 / $573.17 / $1,000.00	Facility		$393.39	$573.17	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $604.36 / $1,056.61	Professional		$379.44	$604.36	$1,056.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.08 / $583.45 / $1,151.00	Professional		$400.08	$583.45	$1,151.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $520.10 / $719.96 / $835.80	Professional		$520.10	$719.96	$835.80
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 $422.76 / $628.19 / $1,063.11	Professional		$422.76	$628.19	$1,063.11