Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.79 / $2,960.00 / $6,915.00	Facility		$535.79	$2,960.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $521.49 / $880.08	Professional		$325.80	$521.49	$880.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $679.17 / $679.17 / $679.17	Professional		$679.17	$679.17	$679.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $495.31 / $923.60	Professional		$368.32	$495.31	$923.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.82 / $774.96 / $74,999.25	Facility		$632.82	$774.96	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $615.42 / $1,214.73	Professional		$387.03	$615.42	$1,214.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.09 / $668.60 / $2,950.27	Professional		$423.09	$668.60	$2,950.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $2,827.00	Facility		$2,363.12	$2,363.12	$2,827.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.37 / $804.12 / $1,314.99	Professional		$546.37	$804.12	$1,314.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.36 / $628.99 / $1,142.85	Professional		$498.36	$628.99	$1,142.85