Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.38 / $2,950.00 / $6,915.00	Facility		$344.38	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.80 / $344.38 / $672.43	Professional		$284.80	$344.38	$672.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $166.47 / $227.50	Professional		$166.47	$166.47	$227.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $462.48 / $862.20	Professional		$325.39	$462.48	$862.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.36 / $696.00 / $963.38	Facility		$578.36	$696.00	$963.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $566.13 / $1,153.31	Facility		$566.13	$566.13	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.17 / $490.98 / $868.81	Professional		$332.17	$490.98	$868.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.64 / $504.92 / $938.12	Professional		$386.64	$504.92	$938.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $588.37 / $681.22	Professional		$470.69	$588.37	$681.22
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.57 / $462.92 / $917.92	Professional		$308.57	$462.92	$917.92