Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,715.35 / $7,079.46	Facility		$831.76	$3,715.35	$7,079.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	53	$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $1,071.52	Professional		$144.54	$407.38	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $776.25	Professional		$138.04	$229.09	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $1,023.29	Professional		$194.98	$478.63	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $316.23	Facility		$194.98	$218.78	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,023.29	Professional		$575.44	$575.44	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $489.78 / $1,148.15	Professional		$223.87	$489.78	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $489.78 / $912.01	Professional		$141.25	$489.78	$912.01
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $107.15 / $107.15 / $323.59	Professional	53	$107.15	$107.15	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $676.08 / $776.25	Professional		$229.09	$676.08	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $5,370.32	Facility		$602.56	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $562.34 / $1,174.90	Professional		$177.83	$562.34	$1,174.90