Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.54 / $3,678.78 / $6,127.93	Facility		$541.54	$3,678.78	$6,127.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,990.00 / $4,174.50 / $10,290.29	Facility	50	$3,990.00	$4,174.50	$10,290.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $413.40 / $1,085.59	Professional		$133.11	$413.40	$1,085.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.81 / $608.28 / $865.10	Professional		$157.81	$608.28	$865.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $457.63 / $1,107.39	Professional		$181.35	$457.63	$1,107.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $208.03 / $331.62	Facility		$172.16	$208.03	$331.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $564.77 / $568.59 / $973.61	Professional		$564.77	$568.59	$973.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $686.21 / $1,374.30	Professional		$211.34	$686.21	$1,374.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $425.37 / $698.94	Professional		$147.77	$425.37	$698.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,500.00 / $3,418.41	Facility		$2,178.87	$2,500.00	$3,418.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.22 / $595.52 / $770.24	Professional		$200.22	$595.52	$770.24
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.26 / $932.42 / $1,305.03	Professional		$618.26	$932.42	$1,305.03