Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.41 / $5,045.00 / $6,915.00	Facility		$576.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $421.43 / $931.21	Professional		$346.19	$421.43	$931.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.79 / $371.79 / $371.79	Professional		$371.79	$371.79	$371.79
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 $370.49 / $552.95 / $1,055.83	Professional		$370.49	$552.95	$1,055.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.26 / $826.10 / $1,135.44	Facility		$685.26	$826.10	$1,135.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $4,830.16	Facility		$451.96	$451.96	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $595.46 / $993.27	Professional		$384.68	$595.46	$993.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.89 / $620.90 / $982.25	Professional		$435.89	$620.90	$982.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $629.90 / $632.04 / $733.73	Professional		$629.90	$632.04	$733.73
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 $330.76 / $511.77 / $892.35	Professional		$330.76	$511.77	$892.35