Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $26,915.35	Facility		$794.33	$1,513.56	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,995.26	Professional		$524.81	$812.83	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,202.26	Professional		$489.78	$660.69	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,288.25	Professional		$630.96	$812.83	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $954.99 / $1,318.26	Facility		$269.15	$954.99	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,905.46	Professional		$645.65	$1,047.13	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $3,235.94	Professional		$724.44	$851.14	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,047.13	Professional		$870.96	$912.01	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,659.59	Professional		$562.34	$776.25	$1,659.59