Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.35 / $2,760.00 / $6,915.00	Facility		$610.35	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.39 / $325.18 / $784.39	Professional		$197.39	$325.18	$784.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.93 / $390.93 / $402.53	Professional		$390.93	$390.93	$402.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,994.09 / $6,065.87	Facility		$450.00	$1,994.09	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.73 / $465.11 / $783.73	Professional		$232.73	$465.11	$783.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.04 / $579.04 / $579.04	Facility		$579.04	$579.04	$579.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $205.82	Professional		$205.82	$205.82	$205.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $2,006.81	Facility		$334.00	$535.00	$2,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.01 / $474.81 / $743.66	Professional		$259.01	$474.81	$743.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $281.85 / $974.61	Professional		$216.81	$281.85	$974.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $357.95 / $773.20	Professional		$210.56	$357.95	$773.20
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 $221.26 / $395.93 / $672.11	Professional		$221.26	$395.93	$672.11