Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,460.00 / $6,915.00	Facility		$838.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $906.98 / $2,100.34	Professional		$198.66	$906.98	$2,100.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.15 / $253.15 / $1,722.36	Professional		$253.15	$253.15	$1,722.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $869.46 / $2,806.48	Professional		$256.95	$869.46	$2,806.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,839.98 / $1,839.98 / $1,839.98	Facility		$1,839.98	$1,839.98	$1,839.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $183.30 / $183.30	Professional		$183.30	$183.30	$183.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,361.00 / $2,128.69	Facility		$506.00	$1,361.00	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $901.99 / $2,857.31	Professional		$268.76	$901.99	$2,857.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.15 / $911.68 / $2,297.42	Professional		$222.15	$911.68	$2,297.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $984.89 / $2,830.00	Professional		$200.27	$984.89	$2,830.00
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.22 / $1,973.24 / $3,110.04	Professional		$1,167.22	$1,973.24	$3,110.04