Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,630.78 / $7,413.10	Facility		$707.95	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $1,230.27	Professional		$331.13	$645.65	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,148.15	Professional		$562.34	$660.69	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,096.48	Professional		$446.68	$741.31	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $1,380.38	Facility		$398.11	$501.19	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $724.44	Professional		$616.60	$660.69	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,288.25	Professional		$323.59	$602.56	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $741.31 / $1,230.27	Professional		$323.59	$741.31	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $977.24	Professional		$446.68	$851.14	$977.24
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 $371.54 / $676.08 / $1,288.25	Professional		$371.54	$676.08	$1,288.25