Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.60 / $2,783.00 / $6,519.00	Facility		$505.60	$2,783.00	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.08 / $473.06 / $884.68	Professional		$225.08	$473.06	$884.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $288.50 / $396.76	Professional		$277.81	$288.50	$396.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,111.58 / $4,819.75	Facility		$568.00	$2,111.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $403.55 / $693.97	Professional		$243.52	$403.55	$693.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $299.18 / $354.22	Facility		$221.39	$299.18	$354.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.77 / $540.01 / $702.51	Professional		$432.77	$540.01	$702.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $716.39 / $2,880.00	Facility		$453.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $521.66 / $994.89	Professional		$287.88	$521.66	$994.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $539.05 / $1,122.75	Professional		$254.60	$539.05	$1,122.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,500.00 / $2,500.00	Facility		$2,178.87	$2,500.00	$2,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.63 / $497.69 / $944.57	Professional		$282.63	$497.69	$944.57
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 $439.46 / $610.77 / $1,033.69	Professional		$439.46	$610.77	$1,033.69