Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.83 / $3,391.00 / $6,915.00	Facility		$637.83	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $453.19 / $926.38	Professional		$364.16	$453.19	$926.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.03 / $546.24 / $825.68	Professional		$528.03	$546.24	$825.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.12 / $590.08 / $960.80	Professional		$407.12	$590.08	$960.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.19 / $789.65 / $921.99	Facility		$671.19	$789.65	$921.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $660.27 / $1,078.93	Professional		$448.78	$660.27	$1,078.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.24 / $520.86 / $2,750.00	Professional		$409.24	$520.86	$2,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.04 / $663.96 / $1,612.16	Professional		$372.04	$663.96	$1,612.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,102.00 / $18,613.00	Facility		$1,998.00	$9,102.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.58 / $627.10 / $959.99	Professional		$404.58	$627.10	$959.99