Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $7,079.46	Facility		$724.44	$3,548.13	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,230.27	Professional		$257.04	$616.60	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $478.63	Professional		$251.19	$323.59	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,862.09 / $4,365.16	Facility		$707.95	$1,862.09	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $912.01	Professional		$323.59	$537.03	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $2,691.53	Facility		$501.19	$724.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,258.93	Professional		$309.03	$602.56	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $741.31 / $1,412.54	Professional		$269.15	$741.31	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $707.95 / $891.25 / $2,238.72	Professional	22	$707.95	$891.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $204.17 / $263.03 / $660.69	Professional	52	$204.17	$263.03	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $204.17 / $263.03 / $851.14	Professional	53	$204.17	$263.03	$851.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,754.40 / $5,754.40	Facility		$3,715.35	$5,754.40	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $758.58 / $1,479.11	Professional		$251.19	$758.58	$1,479.11
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 $269.15 / $630.96 / $1,258.93	Professional		$269.15	$630.96	$1,258.93