Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.93 / $3,460.00 / $6,915.00	Facility		$453.93	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $854.00 / $1,942.32	Professional		$250.12	$854.00	$1,942.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $356.66 / $450.80	Professional		$213.67	$356.66	$450.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $1,298.54 / $3,132.87	Facility		$822.79	$1,298.54	$3,132.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $807.39 / $2,319.65	Professional		$327.02	$807.39	$2,319.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $490.53 / $1,211.08 / $3,500.03	Professional	50	$490.53	$1,211.08	$3,500.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.24 / $515.57 / $601.73	Facility		$438.24	$515.57	$601.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $707.50 / $2,238.87	Professional		$310.20	$707.50	$2,238.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.37 / $918.41 / $5,067.00	Professional		$291.37	$918.41	$5,067.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $701.66 / $1,459.15	Professional		$260.27	$701.66	$1,459.15
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 $813.67 / $1,282.11 / $2,553.75	Professional		$813.67	$1,282.11	$2,553.75