Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.45 / $5,063.00 / $8,731.19	Facility		$1,145.45	$5,063.00	$8,731.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $343.70 / $651.79	Professional		$280.45	$343.70	$651.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.26 / $524.60 / $553.30	Professional		$398.26	$524.60	$553.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,601.00 / $7,513.42	Facility		$637.50	$2,601.00	$7,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.95 / $461.28 / $771.74	Professional		$291.95	$461.28	$771.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $384.52 / $463.50	Facility		$289.69	$384.52	$463.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $337.11 / $444.16	Professional		$274.66	$337.11	$444.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $3,685.16	Facility		$506.00	$703.00	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.02 / $452.92 / $716.44	Professional		$299.02	$452.92	$716.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $376.60 / $775.17	Professional		$289.69	$376.60	$775.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $3,250.00 / $3,250.00	Facility		$2,363.12	$3,250.00	$3,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $533.50 / $743.30	Professional		$5.00	$533.50	$743.30
United Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $3,333.00 / $6,953.00	Facility		$588.00	$3,333.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $393.21 / $677.95	Professional		$276.93	$393.21	$677.95