Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.17 / $4,592.00 / $6,915.00	Facility		$644.17	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.92 / $598.54 / $964.98	Professional		$456.92	$598.54	$964.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,004.47 / $1,004.47 / $1,004.47	Professional		$1,004.47	$1,004.47	$1,004.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,986.70 / $6,271.28	Facility		$1,039.14	$2,986.70	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.11 / $597.15 / $1,113.50	Professional		$424.11	$597.15	$1,113.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.19 / $933.69 / $74,999.25	Facility		$770.19	$933.69	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,732.09 / $2,181.15	Facility		$778.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.72 / $694.43 / $1,360.43	Professional		$434.72	$694.43	$1,360.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.75 / $736.57 / $3,596.29	Professional		$509.75	$736.57	$3,596.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.71 / $738.93 / $882.15	Professional		$574.71	$738.93	$882.15
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.95 / $697.80 / $1,275.47	Professional		$519.95	$697.80	$1,275.47