Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.92 / $3,710.50 / $6,915.00	Facility		$570.92	$3,710.50	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.29 / $549.17 / $1,018.46	Professional		$334.29	$549.17	$1,018.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $450.15 / $575.65 / $575.65	Professional		$450.15	$575.65	$575.65
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 $363.33 / $534.99 / $981.28	Professional		$363.33	$534.99	$981.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.22 / $768.36 / $1,095.68	Facility		$638.22	$768.36	$1,095.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.27 / $627.27 / $4,830.16	Facility		$627.27	$627.27	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.19 / $654.76 / $1,209.81	Professional		$416.19	$654.76	$1,209.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.72 / $646.57 / $1,327.08	Professional		$437.72	$646.57	$1,327.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $490.45 / $660.62 / $955.44	Professional		$490.45	$660.62	$955.44
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 $475.07 / $707.11 / $1,219.15	Professional		$475.07	$707.11	$1,219.15