Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.99 / $2,221.00 / $6,858.00	Facility		$348.99	$2,221.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $503.69 / $1,074.73	Professional		$173.22	$503.69	$1,074.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $335.60 / $1,024.66	Professional		$223.90	$335.60	$1,024.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.69 / $516.82 / $1,143.86	Professional		$222.69	$516.82	$1,143.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.68 / $686.68 / $686.68	Facility		$686.68	$686.68	$686.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $168.35 / $168.35	Professional		$168.35	$168.35	$168.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,765.90	Facility		$334.00	$535.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.18 / $470.87 / $1,145.07	Professional		$209.18	$470.87	$1,145.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $536.47 / $804.71	Professional		$207.87	$536.47	$804.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $563.29 / $1,201.30	Professional		$189.80	$563.29	$1,201.30
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,333.00 / $6,953.00	Facility		$580.00	$3,333.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.90 / $682.36 / $1,161.14	Professional		$482.90	$682.36	$1,161.14