Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,548.13 / $7,762.47	Facility		$645.65	$3,548.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $758.58	Professional		$208.93	$323.59	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $407.38	Professional		$190.55	$380.19	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $5,754.40	Facility		$602.56	$1,995.26	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,000.00	Professional		$309.03	$602.56	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $2,454.71	Facility		$338.84	$537.03	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $707.95	Professional		$229.09	$457.09	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $977.24	Professional		$208.93	$269.15	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $660.69 / $851.14	Professional		$3.98	$660.69	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,677.35 / $8,511.38	Facility		$660.69	$4,677.35	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $660.69	Professional		$213.80	$389.05	$660.69