Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.20 / $5,333.00 / $7,463.49	Facility		$726.20	$5,333.00	$7,463.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.22 / $455.73 / $834.16	Professional		$351.22	$455.73	$834.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.60 / $567.60 / $567.60	Professional		$567.60	$567.60	$567.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $2,619.03 / $6,065.87	Facility		$659.95	$2,619.03	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.70 / $623.37 / $1,066.03	Professional		$419.70	$623.37	$1,066.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $731.57 / $860.67 / $1,194.89	Facility		$731.57	$860.67	$1,194.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.99 / $387.99 / $387.99	Professional		$387.99	$387.99	$387.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $4,005.76	Facility		$506.00	$868.00	$4,005.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.50 / $637.39 / $990.52	Professional		$396.50	$637.39	$990.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.01 / $542.11 / $938.58	Professional		$417.01	$542.11	$938.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $665.50 / $1,066.59	Professional		$425.93	$665.50	$1,066.59
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.57 / $524.30 / $944.08	Professional		$382.57	$524.30	$944.08