Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.65 / $1,424.70 / $20,686.00	Facility		$540.65	$1,424.70	$20,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.15 / $648.77 / $1,796.65	Professional		$539.15	$648.77	$1,796.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.41 / $911.91 / $1,161.17	Professional		$568.41	$911.91	$1,161.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $617.85 / $1,021.02	Facility		$408.80	$617.85	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.77 / $779.98 / $1,638.52	Professional		$571.77	$779.98	$1,638.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $729.53 / $851.12 / $1,012.19	Facility		$729.53	$851.12	$1,012.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.17 / $627.17 / $1,413.39	Professional		$627.17	$627.17	$1,413.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $948.93 / $1,328.50	Facility		$268.00	$948.93	$1,328.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $1,110.36 / $1,980.12	Professional		$640.21	$1,110.36	$1,980.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.88 / $1,109.35 / $3,268.66	Professional		$695.88	$1,109.35	$3,268.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $805.38 / $1,033.50 / $1,371.33	Professional		$805.38	$1,033.50	$1,371.33
United Facility/Professional Professional Modifier Low / Median / High Price $595.41 / $797.24 / $1,611.96	Professional		$595.41	$797.24	$1,611.96