Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.14 / $2,950.00 / $6,915.00	Facility		$649.14	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.15 / $711.50 / $1,459.02	Professional		$530.15	$711.50	$1,459.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $621.96 / $943.29 / $1,388.59	Professional		$621.96	$943.29	$1,388.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.37 / $863.95 / $1,600.58	Professional		$625.37	$863.95	$1,600.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.05 / $738.06 / $2,294.08	Facility		$581.05	$738.06	$2,294.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $698.73 / $822.71 / $865.68	Professional		$698.73	$822.71	$865.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.36 / $775.75 / $1,437.43	Professional		$524.36	$775.75	$1,437.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.56 / $822.71 / $1,505.70	Professional		$676.56	$822.71	$1,505.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,178.87 / $3,750.00	Facility		$2,178.87	$2,178.87	$3,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.56 / $978.22 / $1,190.20	Professional		$777.56	$978.22	$1,190.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.45 / $964.08 / $1,712.96	Professional		$660.45	$964.08	$1,712.96