Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $1,176.53 / $2,406.19	Facility		$504.77	$1,176.53	$2,406.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $570.79 / $786.45	Professional		$531.34	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $403.75 / $403.75 / $455.43	Professional		$403.75	$403.75	$455.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $969.75 / $2,626.31	Facility		$622.41	$969.75	$2,626.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $645.00 / $1,184.58	Professional		$375.00	$645.00	$1,184.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,062.67 / $1,631.43	Facility		$493.38	$1,062.67	$1,631.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $759.05 / $948.81	Professional		$493.38	$759.05	$948.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $1,669.91 / $1,826.86	Facility		$402.30	$1,669.91	$1,826.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.45 / $689.24 / $2,270.67	Professional		$378.45	$689.24	$2,270.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $986.77 / $5,915.37	Professional		$759.05	$986.77	$5,915.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.46 / $1,780.75 / $2,085.90	Facility		$1,482.46	$1,780.75	$2,085.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,062.67 / $1,404.24	Professional		$918.45	$1,062.67	$1,404.24
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,563.19	Professional		$318.80	$455.43	$1,563.19