Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.07 / $4,613.00 / $6,915.00	Facility		$505.07	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $482.26 / $897.71	Professional		$292.66	$482.26	$897.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $225.90 / $628.91	Professional		$225.90	$225.90	$628.91
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 $321.06 / $469.06 / $863.61	Professional		$321.06	$469.06	$863.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.13 / $607.13 / $607.13	Facility		$607.13	$607.13	$607.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $545.71 / $2,172.58	Facility		$545.71	$545.71	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.58 / $560.64 / $1,055.98	Professional		$361.58	$560.64	$1,055.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.52 / $563.85 / $1,161.10	Professional		$382.52	$563.85	$1,161.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.74 / $607.22 / $866.56	Professional		$436.74	$607.22	$866.56
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 $412.07 / $605.67 / $1,080.84	Professional		$412.07	$605.67	$1,080.84