Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,801.89 / $7,244.36	Facility		$338.84	$3,801.89	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $616.60	Professional		$151.36	$316.23	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,290.87 / $4,786.30	Facility		$1,000.00	$2,290.87	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $524.81	Professional		$199.53	$316.23	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $295.12	Facility		$181.97	$204.17	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $645.65	Professional		$363.08	$363.08	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $724.44	Professional		$194.98	$338.84	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $575.44	Professional		$138.04	$302.00	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $4,466.84	Facility		$2,511.89	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,370.32	Facility		$562.34	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $562.34	Professional		$162.18	$295.12	$562.34