Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,570.88 / $7,943.28	Facility		$1,148.15	$4,570.88	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $5,754.40 / $9,332.54	Facility	50	$1,288.25	$5,754.40	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $446.68	Professional		$144.54	$186.21	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $524.81 / $954.99	Professional	50	$251.19	$524.81	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $851.14	Professional		$79.43	$151.36	$851.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $275.42 / $457.09	Professional	50	$208.93	$275.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,454.71 / $4,786.30	Facility		$1,071.52	$2,454.71	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $380.19	Professional		$158.49	$239.88	$380.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $363.08 / $575.44	Professional	50	$239.88	$363.08	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $309.03	Facility		$194.98	$213.80	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $354.81	Professional		$194.98	$194.98	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $416.87	Professional		$186.21	$257.04	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $741.31	Professional		$147.91	$181.97	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $6,918.31	Facility		$3,715.35	$6,309.57	$6,918.31
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 $154.88 / $208.93 / $371.54	Professional		$154.88	$208.93	$371.54