Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,041.74 / $7,079.46	Facility		$524.81	$2,041.74	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $512.86	Professional		$158.49	$239.88	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $316.23	Professional		$158.49	$194.98	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $45,708.82 / $51,286.14	Facility		$22,387.21	$45,708.82	$51,286.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $407.38	Professional		$190.55	$288.40	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $338.84	Facility		$208.93	$234.42	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $398.11	Professional		$213.80	$213.80	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $524.81	Professional		$208.93	$295.12	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $912.01	Professional		$147.91	$190.55	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $22,908.68	Facility		$14,125.38	$14,125.38	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $436.52	Professional		$177.83	$257.04	$436.52