Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.05 / $3,963.00 / $6,726.00	Facility		$369.05	$3,963.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.50 / $449.65 / $961.44	Professional		$235.50	$449.65	$961.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $467.77 / $603.10	Professional		$334.07	$467.77	$603.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $440.81 / $801.38	Professional		$271.36	$440.81	$801.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.45 / $301.74 / $334.07	Facility		$227.45	$301.74	$334.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $402.08 / $696.10	Professional		$398.13	$402.08	$696.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $493.32 / $910.07	Professional		$273.39	$493.32	$910.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $389.81 / $1,308.57	Professional		$261.57	$389.81	$1,308.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $3,250.00	Facility		$2,363.12	$2,363.12	$3,250.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $588.22 / $928.21	Professional		$371.91	$588.22	$928.21