Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.37 / $4,592.00 / $6,915.00	Facility		$547.37	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $528.69 / $1,015.61	Professional		$347.26	$528.69	$1,015.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.94 / $688.94 / $688.94	Professional		$688.94	$688.94	$688.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.22 / $548.46 / $987.74	Professional		$363.22	$548.46	$987.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.85 / $759.80 / $1,113.32	Facility		$632.85	$759.80	$1,113.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $1,200.00	Facility		$623.66	$623.66	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.08 / $661.37 / $1,176.20	Professional		$423.08	$661.37	$1,176.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.84 / $631.23 / $1,249.86	Professional		$432.84	$631.23	$1,249.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $497.87 / $667.29 / $907.58	Professional		$497.87	$667.29	$907.58
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $696.36 / $1,157.68	Professional		$468.12	$696.36	$1,157.68