Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.95 / $3,460.00 / $6,915.00	Facility		$341.95	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $366.99 / $658.72	Professional		$230.93	$366.99	$658.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $603.45 / $603.45	Professional		$301.98	$603.45	$603.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $450.36 / $774.45	Professional		$269.30	$450.36	$774.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.86 / $344.86 / $344.86	Facility		$344.86	$344.86	$344.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $308.83 / $308.83	Professional		$308.83	$308.83	$308.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,765.90	Facility		$506.00	$700.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $394.15 / $747.09	Professional		$239.37	$394.15	$747.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.45 / $406.10 / $676.84	Professional		$298.45	$406.10	$676.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.14 / $537.10 / $649.10	Professional		$300.14	$537.10	$649.10
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $3,512.00 / $6,575.00	Facility		$624.00	$3,512.00	$6,575.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $391.22 / $721.02	Professional		$278.02	$391.22	$721.02