Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,570.40 / $5,888.44	Facility		$389.05	$2,570.40	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $707.95	Professional		$199.53	$302.00	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $436.52	Professional		$204.17	$275.42	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $3,801.89	Facility		$758.58	$1,819.70	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $588.84	Professional		$245.47	$380.19	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $275.42	Facility		$229.09	$257.04	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $489.78	Professional		$269.15	$269.15	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,471.29 / $11,748.98	Facility		$7,244.36	$10,471.29	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $575.44	Professional		$239.88	$371.54	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $933.25	Professional		$204.17	$275.42	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $467.74	Professional		$190.55	$346.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,162.28 / $6,025.60	Facility		$1,047.13	$3,162.28	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $588.84	Professional		$208.93	$316.23	$588.84