Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.82 / $4,592.00 / $7,421.00	Facility		$548.82	$4,592.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.32 / $1,298.44 / $2,687.57	Professional		$319.32	$1,298.44	$2,687.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,938.68 / $1,938.68 / $1,938.68	Professional		$1,938.68	$1,938.68	$1,938.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $3,132.87 / $6,821.66	Facility		$1,135.89	$3,132.87	$6,821.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.07 / $1,094.09 / $2,867.64	Professional		$410.07	$1,094.09	$2,867.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.14 / $643.44 / $927.30	Facility		$541.14	$643.44	$927.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $935.35 / $2,836.38	Professional		$402.18	$935.35	$2,836.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.56 / $1,268.28 / $3,791.15	Professional		$366.56	$1,268.28	$3,791.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $499.12 / $589.54 / $2,287.54	Professional		$499.12	$589.54	$2,287.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $10,000.00	Facility		$1,519.00	$6,689.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.74 / $1,816.57 / $3,236.57	Professional		$1,334.74	$1,816.57	$3,236.57