Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.35 / $3,911.00 / $6,915.00	Facility		$294.35	$3,911.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $596.51 / $1,360.75	Professional		$149.72	$596.51	$1,360.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $246.04 / $1,261.06	Professional		$198.78	$246.04	$1,261.06
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 $180.56 / $475.76 / $1,381.45	Professional		$180.56	$475.76	$1,381.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.25 / $287.33 / $334.95	Facility		$244.25	$287.33	$334.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $406.28 / $1,459.15	Professional		$175.80	$406.28	$1,459.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $645.67 / $4,529.35	Professional		$162.19	$645.67	$4,529.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $292.80 / $1,677.00	Professional		$5.00	$292.80	$1,677.00
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 $554.72 / $868.08 / $1,529.58	Professional		$554.72	$868.08	$1,529.58