Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.87 / $2,987.00 / $6,915.00	Facility		$687.87	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $293.76 / $1,096.85	Professional		$99.43	$293.76	$1,096.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $173.18 / $186.87	Professional		$90.82	$173.18	$186.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $2,236.86 / $4,819.75	Facility		$576.79	$2,236.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $413.71 / $1,201.28	Professional		$131.35	$413.71	$1,201.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.69 / $915.69 / $915.69	Facility		$915.69	$915.69	$915.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $450.25 / $1,423.41	Professional		$123.45	$450.25	$1,423.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $621.57 / $1,500.00	Professional		$112.52	$621.57	$1,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $681.33 / $1,256.42	Professional		$103.08	$681.33	$1,256.42
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.20 / $827.99 / $1,345.33	Professional		$559.20	$827.99	$1,345.33