Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $361.64 / $1,400.70	Facility		$134.00	$361.64	$1,400.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $174.13 / $360.45	Professional		$134.00	$174.13	$360.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.12 / $284.12 / $284.12	Professional		$284.12	$284.12	$284.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $257.43 / $697.19	Facility		$145.43	$257.43	$697.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $181.35 / $439.27	Professional		$74.62	$181.35	$439.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $292.18 / $433.08	Facility		$201.50	$292.18	$433.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.66 / $327.45 / $621.74	Facility		$179.66	$327.45	$621.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $284.70 / $854.34	Professional		$100.46	$284.70	$854.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $276.45 / $1,569.26	Professional		$201.50	$276.45	$1,569.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,294.83 / $1,294.83 / $1,294.83	Facility		$1,294.83	$1,294.83	$1,294.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $282.10 / $372.77	Professional		$243.82	$282.10	$372.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $137.44 / $366.15	Professional		$84.63	$137.44	$366.15