Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $9,549.93	Facility		$851.14	$3,162.28	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,479.11	Professional		$229.09	$549.54	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $407.38	Professional		$213.80	$288.40	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,089.30 / $4,677.35	Facility		$707.95	$2,089.30	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $1,380.38	Professional		$323.59	$724.44	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $2,691.53	Facility		$512.86	$724.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $602.56 / $1,698.24	Professional		$251.19	$602.56	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $912.01 / $1,737.80	Professional		$245.47	$912.01	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $588.84 / $1,778.28	Professional		$234.42	$588.84	$1,778.28
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 $245.47 / $676.08 / $1,412.54	Professional		$245.47	$676.08	$1,412.54