Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.44 / $2,800.00 / $6,915.00	Facility		$461.44	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $843.35 / $1,573.64	Professional		$162.16	$843.35	$1,573.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $140.16 / $278.88	Professional		$136.25	$140.16	$278.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $496.83 / $1,836.98	Professional		$200.93	$496.83	$1,836.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.51 / $318.26 / $456.00	Facility		$270.51	$318.26	$456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $521.94 / $2,036.20	Professional		$198.58	$521.94	$2,036.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $814.77 / $1,628.99	Professional		$180.25	$814.77	$1,628.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $687.62 / $1,429.55	Professional		$176.12	$687.62	$1,429.55
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.74 / $1,312.31 / $2,242.66	Professional		$888.74	$1,312.31	$2,242.66