Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,995.26	Facility		$398.11	$1,096.48	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $691.83	Professional		$354.81	$478.63	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $831.76	Facility		$363.08	$645.65	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $851.14	Professional		$239.88	$239.88	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,819.70	Facility		$389.05	$977.24	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $724.44 / $1,905.46	Professional		$295.12	$724.44	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $4,677.35	Professional		$537.03	$691.83	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,288.25	Professional		$602.56	$741.31	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $537.03 / $602.56	Facility		$331.13	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $776.25	Professional		$251.19	$354.81	$776.25