Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.31 / $2,627.00 / $4,000.20	Facility		$859.31	$2,627.00	$4,000.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.11 / $981.40 / $1,660.99	Professional		$809.11	$981.40	$1,660.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $941.81 / $1,569.12 / $1,569.12	Professional		$941.81	$1,569.12	$1,569.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,355.87 / $2,354.58 / $2,831.20	Facility		$1,355.87	$2,354.58	$2,831.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.63 / $1,262.68 / $2,079.13	Professional		$720.63	$1,262.68	$2,079.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $1,030.25 / $1,184.88	Facility		$154.63	$1,030.25	$1,184.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $824.18 / $1,970.00 / $3,183.00	Facility		$824.18	$1,970.00	$3,183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.87 / $1,345.38 / $2,323.44	Professional		$909.87	$1,345.38	$2,323.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.99 / $1,224.34 / $6,522.00	Professional		$1,035.99	$1,224.34	$6,522.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $1,267.74 / $1,680.79	Professional		$176.43	$1,267.74	$1,680.79
United Facility/Professional Professional Modifier Low / Median / High Price $829.24 / $1,423.29 / $2,521.23	Professional		$829.24	$1,423.29	$2,521.23