Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.89 / $3,295.00 / $6,915.00	Facility		$484.89	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.07 / $480.72 / $932.40	Professional		$324.07	$480.72	$932.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $596.49 / $856.82	Professional		$408.45	$596.49	$856.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $616.76 / $1,034.03	Professional		$350.66	$616.76	$1,034.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.27 / $482.27 / $482.27	Facility		$482.27	$482.27	$482.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $307.12 / $307.12	Professional		$307.12	$307.12	$307.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,765.90	Facility		$453.00	$715.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $549.64 / $1,019.41	Professional		$333.75	$549.64	$1,019.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $535.52 / $814.92	Professional		$387.55	$535.52	$814.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.70 / $608.16 / $970.80	Professional		$350.70	$608.16	$970.80
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $541.03 / $1,009.26	Professional		$381.96	$541.03	$1,009.26