Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $3,937.50 / $7,034.37	Facility		$613.45	$3,937.50	$7,034.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $612.02 / $1,350.75	Professional		$283.62	$612.02	$1,350.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $359.29 / $565.95	Professional		$179.65	$359.29	$565.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $447.73 / $801.93	Professional		$296.00	$447.73	$801.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.43 / $400.75 / $594.22	Facility		$307.43	$400.75	$594.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.55 / $666.42 / $717.68	Professional		$524.55	$666.42	$717.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $1,160.00	Facility		$499.04	$499.04	$1,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.12 / $624.85 / $1,218.91	Professional		$329.12	$624.85	$1,218.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $675.27 / $1,414.81	Professional		$355.57	$675.27	$1,414.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,178.87 / $2,500.00	Facility		$2,178.87	$2,178.87	$2,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.93 / $602.70 / $1,123.39	Professional		$386.93	$602.70	$1,123.39
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.36 / $762.47 / $1,318.29	Professional		$478.36	$762.47	$1,318.29