Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,570.88 / $7,413.10	Facility		$537.03	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $870.96	Professional		$239.88	$416.87	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $851.14	Professional		$213.80	$316.23	$851.14
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 $363.08 / $512.86 / $812.83	Professional		$363.08	$512.86	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $1,148.15	Facility		$338.84	$416.87	$1,148.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $501.19	Professional		$426.58	$457.09	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,047.13	Professional		$331.13	$575.44	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $851.14	Professional		$281.84	$512.86	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $676.08	Professional		$380.19	$588.84	$676.08
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 $316.23 / $549.54 / $954.99	Professional		$316.23	$549.54	$954.99