Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.90 / $4,592.00 / $6,915.00	Facility		$518.90	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.33 / $511.96 / $849.38	Professional		$390.33	$511.96	$849.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $551.01 / $551.01	Professional		$551.01	$551.01	$551.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.72 / $532.17 / $982.71	Professional		$391.72	$532.17	$982.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.07 / $825.14 / $74,999.25	Facility		$677.07	$825.14	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.20 / $626.50 / $778.00	Facility		$501.20	$626.50	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $571.27 / $1,083.60	Professional		$377.51	$571.27	$1,083.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.48 / $626.75 / $3,143.96	Professional		$450.48	$626.75	$3,143.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.15 / $652.88 / $813.57	Professional		$513.15	$652.88	$813.57
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.55 / $554.05 / $988.75	Professional		$415.55	$554.05	$988.75