Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.50 / $3,164.00 / $6,915.00	Facility		$469.50	$3,164.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $451.69 / $833.11	Professional		$283.27	$451.69	$833.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.97 / $893.26 / $893.26	Professional		$561.97	$893.26	$893.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.69 / $450.42 / $826.74	Professional		$304.69	$450.42	$826.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.47 / $637.61 / $908.91	Facility		$529.47	$637.61	$908.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $521.14 / $2,500.00	Facility		$367.58	$521.14	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.55 / $567.38 / $1,000.70	Professional		$357.55	$567.38	$1,000.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $529.71 / $1,077.28	Professional		$363.23	$529.71	$1,077.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.19 / $540.19 / $775.59	Professional		$540.19	$540.19	$775.59
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 $398.56 / $599.87 / $1,076.60	Professional		$398.56	$599.87	$1,076.60