Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $3,391.00 / $7,886.20	Facility		$294.95	$3,391.00	$7,886.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $713.27 / $1,664.27	Professional		$134.88	$713.27	$1,664.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $229.68 / $753.85	Professional		$191.01	$229.68	$753.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $641.63 / $1,889.60	Professional		$174.45	$641.63	$1,889.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.04 / $1,510.04 / $1,510.04	Facility		$1,510.04	$1,510.04	$1,510.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $124.47 / $124.47	Professional		$124.47	$124.47	$124.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $770.87	Facility		$338.00	$546.00	$770.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $396.05 / $1,714.81	Professional		$165.16	$396.05	$1,714.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $712.93 / $1,796.58	Professional		$150.08	$712.93	$1,796.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,760.90 / $2,211.90	Professional		$4.00	$1,760.90	$2,211.90
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,496.00 / $5,272.00	Facility		$550.00	$2,496.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.74 / $1,251.71 / $2,181.67	Professional		$812.74	$1,251.71	$2,181.67