Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,548.13 / $7,413.10	Facility		$331.13	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $524.81	Professional		$85.11	$239.88	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $478.63	Professional		$38.90	$48.98	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,584.89 / $3,467.37	Facility		$549.54	$1,584.89	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $512.86	Professional		$128.82	$269.15	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $776.25	Facility		$338.84	$549.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $501.19	Professional		$104.71	$223.87	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $295.12 / $549.54	Professional		$93.33	$295.12	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $70.79 / $89.13 / $263.03	Professional	52	$70.79	$89.13	$263.03
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $70.79 / $89.13 / $346.74	Professional	53	$70.79	$89.13	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $457.09 / $724.44	Professional		$5.01	$457.09	$724.44
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 $91.20 / $213.80 / $426.58	Professional		$91.20	$213.80	$426.58