Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,295.00 / $6,915.00	Facility		$838.00	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.62 / $770.41 / $1,330.37	Professional		$532.62	$770.41	$1,330.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $734.07 / $734.07 / $734.07	Professional		$734.07	$734.07	$734.07
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 $535.82 / $727.66 / $1,347.61	Professional		$535.82	$727.66	$1,347.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.27 / $1,128.68 / $74,999.25	Facility		$927.27	$1,128.68	$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 $549.60 / $900.46 / $1,753.35	Professional		$549.60	$900.46	$1,753.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.19 / $930.50 / $4,327.52	Professional		$616.19	$930.50	$4,327.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.27 / $1,159.32 / $2,052.19	Professional		$855.27	$1,159.32	$2,052.19
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 $709.20 / $912.66 / $1,599.24	Professional		$709.20	$912.66	$1,599.24