Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.35 / $2,987.00 / $6,915.00	Facility		$601.35	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.65 / $658.48 / $1,113.38	Professional		$497.65	$658.48	$1,113.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $306.75 / $306.75	Professional		$306.75	$306.75	$306.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.21 / $753.37 / $1,414.83	Professional		$486.21	$753.37	$1,414.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $830.70 / $1,011.15 / $74,999.25	Facility		$830.70	$1,011.15	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.43 / $5,008.00 / $9,852.00	Facility		$312.43	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.72 / $985.94 / $1,479.71	Professional		$511.72	$985.94	$1,479.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.03 / $768.05 / $3,874.65	Professional		$552.03	$768.05	$3,874.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $622.35 / $709.87 / $856.68	Professional		$622.35	$709.87	$856.68
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 $536.91 / $843.09 / $1,393.18	Professional		$536.91	$843.09	$1,393.18