Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.90 / $4,126.00 / $6,915.00	Facility		$534.90	$4,126.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $534.91 / $1,014.35	Professional		$348.03	$534.91	$1,014.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.76 / $619.84 / $937.99	Professional		$500.76	$619.84	$937.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $685.46 / $1,132.28	Professional		$421.30	$685.46	$1,132.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.18 / $662.18 / $662.18	Facility		$662.18	$662.18	$662.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $326.33 / $326.33	Professional		$326.33	$326.33	$326.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,765.90	Facility		$512.00	$703.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $620.98 / $1,115.99	Professional		$379.80	$620.98	$1,115.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.01 / $585.99 / $923.96	Professional		$405.01	$585.99	$923.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $665.70 / $952.60	Professional		$485.78	$665.70	$952.60
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 $465.59 / $652.79 / $1,113.99	Professional		$465.59	$652.79	$1,113.99