Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.41 / $2,950.00 / $9,488.00	Facility		$859.41	$2,950.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $654.95 / $1,656.73	Professional		$232.16	$654.95	$1,656.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $170.42 / $403.31	Professional		$114.04	$170.42	$403.31
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 $292.50 / $709.17 / $1,524.63	Professional		$292.50	$709.17	$1,524.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,182.61 / $1,182.61 / $1,182.61	Facility		$1,182.61	$1,182.61	$1,182.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Professional		$214.95	$214.95	$214.95
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 $276.94 / $677.52 / $1,760.28	Professional		$276.94	$677.52	$1,760.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.04 / $768.68 / $1,869.00	Professional		$262.04	$768.68	$1,869.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $733.83 / $1,403.91	Professional		$289.85	$733.83	$1,403.91
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 $576.59 / $994.64 / $1,858.44	Professional		$576.59	$994.64	$1,858.44