Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.14 / $999.02 / $2,044.00	Facility		$370.14	$999.02	$2,044.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.29 / $431.25 / $791.68	Professional		$246.29	$431.25	$791.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,044.00 / $2,044.00 / $2,044.00	Professional		$2,044.00	$2,044.00	$2,044.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.48 / $615.04 / $1,925.84	Facility		$362.48	$615.04	$1,925.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $222.64 / $1,092.05	Professional		$166.98	$222.64	$1,092.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $779.24 / $1,196.69	Facility		$556.60	$779.24	$1,196.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $667.92 / $723.58	Professional		$556.60	$667.92	$723.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $875.53 / $1,545.11	Facility		$195.22	$875.53	$1,545.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $849.74 / $3,132.17	Professional		$253.74	$849.74	$3,132.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $723.58 / $4,337.91	Professional		$500.94	$723.58	$4,337.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.66 / $1,384.58 / $1,537.06	Facility		$1,152.66	$1,384.58	$1,537.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $673.49 / $779.24 / $1,029.71	Professional		$673.49	$779.24	$1,029.71
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $1,016.91	Professional		$233.77	$333.96	$1,016.91