Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,801.89 / $7,079.46	Facility		$933.25	$3,801.89	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $776.25 / $1,778.28	Professional		$194.98	$776.25	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $1,479.11	Professional		$173.78	$269.15	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $851.14 / $2,089.30	Professional		$275.42	$851.14	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $1,348.96	Facility		$380.19	$549.54	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,778.28	Professional		$245.47	$489.78	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $794.33 / $1,584.89	Professional		$208.93	$794.33	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $162.18 / $204.17 / $812.83	Professional	52	$162.18	$204.17	$812.83
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $162.18 / $204.17 / $1,047.13	Professional	53	$162.18	$204.17	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $2,238.72 / $2,570.40	Professional		$3.98	$2,238.72	$2,570.40
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 $213.80 / $812.83 / $1,778.28	Professional		$213.80	$812.83	$1,778.28