Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $7,943.28	Facility		$1,071.52	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,819.70	Professional		$588.84	$794.33	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,412.54	Professional		$549.54	$1,000.00	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,454.71 / $4,786.30	Facility		$1,071.52	$2,454.71	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,380.38	Professional		$645.65	$831.76	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $831.76	Professional		$707.95	$758.58	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,479.11	Professional		$549.54	$794.33	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,548.82	Professional		$645.65	$870.96	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,122.02	Professional		$851.14	$977.24	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Professional		$630.96	$912.01	$1,698.24