Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,570.88 / $7,413.10	Facility		$524.81	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $870.96	Professional		$316.23	$489.78	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $4,677.35	Facility		$776.25	$2,238.72	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $977.24	Professional		$380.19	$616.60	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $2,187.76	Facility		$512.86	$707.95	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Professional		$331.13	$512.86	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,047.13	Professional		$380.19	$616.60	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,148.15	Professional		$457.09	$691.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,606.93	Facility		$616.60	$3,235.94	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $870.96	Professional		$309.03	$478.63	$870.96