Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $3,527.00 / $7,421.00	Facility		$319.20	$3,527.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $340.07 / $1,003.13	Professional		$184.85	$340.07	$1,003.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $219.25 / $390.83	Professional		$156.56	$219.25	$390.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $422.13 / $824.13	Professional		$191.32	$422.13	$824.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.75 / $889.75 / $889.75	Facility		$889.75	$889.75	$889.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $2,172.58	Facility		$304.76	$304.76	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $599.32 / $1,005.41	Professional		$289.30	$599.32	$1,005.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $348.83 / $894.21	Professional		$208.72	$348.83	$894.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.62 / $401.07 / $529.99	Professional		$258.62	$401.07	$529.99
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 $461.57 / $660.45 / $1,045.09	Professional		$461.57	$660.45	$1,045.09