Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.89 / $4,195.00 / $7,071.00	Facility		$465.89	$4,195.00	$7,071.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $376.41 / $966.21	Professional		$179.28	$376.41	$966.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $305.37 / $578.28	Professional		$106.91	$305.37	$578.28
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 $186.64 / $398.03 / $768.78	Professional		$186.64	$398.03	$768.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.08 / $661.08 / $661.08	Facility		$661.08	$661.08	$661.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $2,172.58	Facility		$297.22	$297.22	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $589.36 / $995.01	Professional		$284.33	$589.36	$995.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.62 / $341.93 / $854.87	Professional		$203.62	$341.93	$854.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $393.32 / $519.74	Professional		$250.20	$393.32	$519.74
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 $458.77 / $657.75 / $1,097.74	Professional		$458.77	$657.75	$1,097.74