Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.54 / $4,852.00 / $7,391.00	Facility		$335.54	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $441.12 / $910.53	Professional		$274.64	$441.12	$910.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $399.44 / $504.65	Professional		$399.44	$399.44	$504.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.59 / $2,485.30 / $4,184.53	Facility		$837.59	$2,485.30	$4,184.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $457.23 / $912.42	Professional		$268.17	$457.23	$912.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.13 / $557.42 / $74,999.25	Facility		$457.13	$557.42	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $5,008.00 / $9,852.00	Facility		$181.46	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $671.72 / $1,122.63	Professional		$296.27	$671.72	$1,122.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $423.41 / $2,203.51	Professional		$304.32	$423.41	$2,203.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.66 / $421.62 / $666.21	Professional		$346.66	$421.62	$666.21
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.22 / $567.97 / $1,137.76	Professional		$298.22	$567.97	$1,137.76