Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,630.78 / $7,413.10	Facility		$467.74	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $549.54	Professional		$218.78	$323.59	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $4,677.35	Facility		$588.84	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $724.44	Professional		$281.84	$478.63	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,023.29	Facility		$338.84	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $660.69	Professional		$251.19	$398.11	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $660.69	Professional		$239.88	$398.11	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $741.31 / $870.96	Professional		$5.01	$741.31	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $645.65	Professional		$234.42	$363.08	$645.65