Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,168.69 / $7,413.10	Facility		$660.69	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $1,122.02	Professional		$302.00	$602.56	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $1,071.52	Professional		$588.84	$660.69	$1,071.52
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 $407.38 / $691.83 / $1,023.29	Professional		$407.38	$691.83	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $446.68 / $1,230.27	Facility		$363.08	$446.68	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $691.83	Professional		$575.44	$616.60	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,230.27	Professional		$288.40	$549.54	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $707.95 / $1,122.02	Professional		$288.40	$707.95	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $912.01	Professional		$398.11	$794.33	$912.01
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 $331.13 / $630.96 / $1,202.26	Professional		$331.13	$630.96	$1,202.26