Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,630.78 / $7,943.28	Facility		$288.40	$3,630.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $630.96	Professional		$190.55	$309.03	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $512.86	Professional		$177.83	$275.42	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,290.87 / $4,786.30	Facility		$1,000.00	$2,290.87	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $537.03	Professional		$257.04	$354.81	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $831.76	Facility		$251.19	$316.23	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $331.13	Professional		$288.40	$302.00	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $616.60	Professional		$199.53	$346.74	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $575.44	Professional		$229.09	$363.08	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Facility		$2,137.96	$2,137.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $3,467.37	Facility		$776.25	$2,238.72	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $645.65	Professional		$234.42	$389.05	$645.65