Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.38 / $4,592.00 / $7,421.00	Facility		$318.38	$4,592.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $331.44 / $569.39	Professional		$178.44	$331.44	$569.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $336.21 / $336.21	Professional		$336.21	$336.21	$336.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $287.49 / $514.94	Professional		$181.32	$287.49	$514.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $370.25 / $571.85	Facility		$314.72	$370.25	$571.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $4,830.16	Facility		$310.52	$310.52	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $390.49 / $758.51	Professional		$218.38	$390.49	$758.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $381.26 / $791.85	Professional		$217.31	$381.26	$791.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $335.02 / $599.04	Professional		$190.07	$335.02	$599.04
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 $298.48 / $497.92 / $738.52	Professional		$298.48	$497.92	$738.52