Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $3,360.00 / $6,915.00	Facility		$574.91	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $462.25 / $1,067.68	Professional		$149.16	$462.25	$1,067.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $249.45 / $261.64	Professional		$249.45	$249.45	$261.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $10,137.00 / $11,009.47	Facility		$7,379.00	$10,137.00	$11,009.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $434.82 / $1,161.23	Professional		$187.50	$434.82	$1,161.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $299.24 / $349.25	Facility		$254.34	$299.24	$349.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,635.00 / $15,635.00 / $15,635.00	Facility		$15,635.00	$15,635.00	$15,635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $395.68 / $1,333.89	Professional		$188.33	$395.68	$1,333.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.12 / $454.77 / $1,306.00	Professional		$169.12	$454.77	$1,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $434.10 / $807.43	Professional		$162.07	$434.10	$807.43
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 $564.58 / $886.70 / $1,351.50	Professional		$564.58	$886.70	$1,351.50