Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,951.21 / $7,079.46	Facility		$501.19	$2,951.21	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $870.96	Professional		$229.09	$478.63	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $398.11	Professional		$181.97	$223.87	$398.11
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 $288.40 / $457.09 / $724.44	Professional		$288.40	$457.09	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $426.58	Facility		$251.19	$316.23	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $676.08	Professional		$426.58	$537.03	$676.08
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 $275.42 / $489.78 / $912.01	Professional		$275.42	$489.78	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $1,122.02	Professional		$239.88	$602.56	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $2,884.03	Facility		$2,511.89	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $562.34 / $1,096.48	Professional		$229.09	$562.34	$1,096.48
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 $239.88 / $467.74 / $851.14	Professional		$239.88	$467.74	$851.14