Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.67 / $1,412.16 / $2,520.15	Facility		$528.67	$1,412.16	$2,520.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.67 / $731.40 / $825.00	Professional		$528.67	$731.40	$825.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $398.69 / $398.69	Professional		$398.69	$398.69	$398.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,015.68 / $2,750.70	Facility		$645.00	$1,015.68	$2,750.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $645.00 / $1,273.10	Professional		$375.00	$645.00	$1,273.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.07 / $1,113.00 / $1,558.20	Facility		$655.07	$1,113.00	$1,558.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.35 / $1,749.00 / $1,749.00	Facility		$421.35	$1,749.00	$1,749.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.32 / $913.56 / $2,378.08	Professional		$396.32	$913.56	$2,378.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,033.50 / $6,195.52	Professional		$795.00	$1,033.50	$6,195.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $961.95 / $1,113.00 / $1,470.75	Professional		$961.95	$1,113.00	$1,470.75
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $1,152.75	Professional		$333.90	$477.00	$1,152.75