Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $3,981.07	Professional		$776.25	$1,096.48	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,122.02	Professional		$831.76	$1,000.00	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,818.38	Professional		$1,122.02	$1,778.28	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,949.84	Professional		$1,174.90	$1,174.90	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,466.84	Professional		$2,290.87	$3,019.95	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $7,585.78	Professional		$1,096.48	$1,288.25	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,548.82	Professional		$1,348.96	$1,380.38	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,691.53	Professional		$1,096.48	$1,659.59	$2,691.53