Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,570.88 / $7,413.10	Facility		$489.78	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $758.58	Professional		$204.17	$380.19	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $707.95	Professional		$186.21	$371.54	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,290.87 / $3,548.13	Facility		$870.96	$2,290.87	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $676.08	Professional		$288.40	$407.38	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $977.24	Facility		$288.40	$363.08	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $446.68	Professional		$380.19	$407.38	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $891.25	Professional		$295.12	$457.09	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $630.96	Professional		$239.88	$467.74	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $602.56	Professional		$323.59	$524.81	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $812.83	Professional		$269.15	$457.09	$812.83