Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.81 / $3,295.00 / $6,915.00	Facility		$497.81	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.85 / $496.96 / $843.71	Professional		$378.85	$496.96	$843.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $198.23 / $198.23	Professional		$198.23	$198.23	$198.23
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 $381.32 / $512.54 / $948.71	Professional		$381.32	$512.54	$948.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $795.33 / $74,999.25	Facility		$654.41	$795.33	$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 $364.25 / $546.55 / $1,030.01	Professional		$364.25	$546.55	$1,030.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $604.13 / $3,043.70	Professional		$434.22	$604.13	$3,043.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $660.76 / $1,359.80	Professional		$546.05	$660.76	$1,359.80
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 $412.65 / $568.94 / $962.91	Professional		$412.65	$568.94	$962.91