Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $4,592.00 / $6,915.00	Facility		$695.52	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.67 / $491.84 / $914.04	Professional		$397.67	$491.84	$914.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $731.84 / $754.55 / $789.73	Professional		$731.84	$754.55	$789.73
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 $414.60 / $656.83 / $1,133.91	Professional		$414.60	$656.83	$1,133.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.90 / $549.90 / $549.90	Facility		$549.90	$549.90	$549.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $381.93 / $381.93	Professional		$381.93	$381.93	$381.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,765.90	Facility		$506.00	$703.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $655.09 / $990.36	Professional		$391.40	$655.09	$990.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.47 / $537.51 / $1,102.76	Professional		$413.47	$537.51	$1,102.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.50 / $653.90 / $786.36	Professional		$501.50	$653.90	$786.36
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 $381.94 / $536.09 / $982.90	Professional		$381.94	$536.09	$982.90