Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.62 / $3,295.00 / $6,915.00	Facility		$723.62	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $619.62 / $1,041.01	Professional		$414.89	$619.62	$1,041.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $483.63 / $483.63 / $1,093.38	Professional		$483.63	$483.63	$1,093.38
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 $460.60 / $624.46 / $1,154.40	Professional		$460.60	$624.46	$1,154.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.47 / $970.23 / $74,999.25	Facility		$796.47	$970.23	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,325.29 / $1,668.88	Facility		$551.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.30 / $770.58 / $1,495.86	Professional		$484.30	$770.58	$1,495.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $797.50 / $3,707.42	Professional		$529.69	$797.50	$3,707.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $595.82 / $794.51 / $976.23	Professional		$595.82	$794.51	$976.23
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 $590.98 / $789.06 / $1,365.93	Professional		$590.98	$789.06	$1,365.93