Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.28 / $3,826.00 / $6,726.00	Facility		$656.28	$3,826.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $542.13 / $1,198.70	Professional		$398.23	$542.13	$1,198.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $368.39 / $635.45 / $956.57	Professional		$368.39	$635.45	$956.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $699.03 / $1,182.58	Professional		$449.10	$699.03	$1,182.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.38 / $860.49 / $1,321.47	Facility		$790.38	$860.49	$1,321.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $6,918.00 / $9,852.00	Facility		$1,942.85	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.87 / $801.24 / $1,257.73	Professional		$482.87	$801.24	$1,257.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $621.04 / $776.82	Professional		$455.43	$621.04	$776.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $708.77 / $981.45	Professional		$456.30	$708.77	$981.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $713.36 / $1,178.89	Professional		$534.66	$713.36	$1,178.89