Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,047.13 / $2,290.87	Facility		$446.68	$1,047.13	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $812.83	Professional		$446.68	$602.56	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $954.99	Facility		$436.52	$741.31	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $707.95 / $1,202.26	Professional		$218.78	$707.95	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $912.01	Professional		$812.83	$870.96	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $2,041.74	Facility		$616.60	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $2,187.76	Professional		$309.03	$691.83	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $5,248.07	Professional		$602.56	$870.96	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,445.44	Professional		$676.08	$831.76	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $676.08	Facility		$389.05	$602.56	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $933.25	Professional		$281.84	$389.05	$933.25