Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.44 / $4,908.00 / $9,488.00	Facility		$678.44	$4,908.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.39 / $558.12 / $1,257.06	Professional		$343.39	$558.12	$1,257.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $339.86 / $550.00	Professional		$193.60	$339.86	$550.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.02 / $540.41 / $954.43	Professional		$386.02	$540.41	$954.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.48 / $560.00 / $957.09	Facility		$405.48	$560.00	$957.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $628.88 / $677.25	Professional		$490.03	$628.88	$677.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.53 / $662.53 / $2,172.58	Facility		$662.53	$662.53	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.34 / $647.47 / $1,137.42	Professional		$394.34	$647.47	$1,137.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.45 / $657.50 / $1,305.89	Professional		$463.45	$657.50	$1,305.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $3,250.00	Facility		$2,363.12	$2,363.12	$3,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.39 / $699.54 / $937.95	Professional		$511.39	$699.54	$937.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.20 / $669.16 / $1,204.02	Professional		$443.20	$669.16	$1,204.02