Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.95 / $4,592.00 / $6,915.00	Facility		$411.95	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $384.75 / $750.57	Professional		$264.72	$384.75	$750.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.02 / $235.02 / $470.04	Professional		$235.02	$235.02	$470.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.11 / $480.85 / $833.13	Professional		$305.11	$480.85	$833.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.95 / $512.88 / $610.32	Facility		$435.95	$512.88	$610.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $538.83 / $784.39	Professional		$303.44	$538.83	$784.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.54 / $399.64 / $832.31	Professional		$295.54	$399.64	$832.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $357.11 / $486.77	Professional		$331.13	$357.11	$486.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.60 / $525.66 / $835.83	Professional		$367.60	$525.66	$835.83