Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.95 / $436.41 / $1,175.32	Facility		$275.95	$436.41	$1,175.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $360.19 / $500.00	Professional		$220.89	$360.19	$500.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $773.79 / $773.79 / $773.79	Professional		$773.79	$773.79	$773.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.96 / $460.54 / $1,442.06	Facility		$239.96	$460.54	$1,442.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $205.82 / $701.03	Professional		$154.36	$205.82	$701.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $583.49 / $896.08	Facility		$416.78	$583.49	$896.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $541.80	Professional		$416.78	$500.14	$541.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.62 / $734.42 / $1,301.53	Facility		$371.62	$734.42	$1,301.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $378.47 / $1,301.04	Professional		$208.16	$378.47	$1,301.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $458.46 / $3,247.32	Professional		$375.10	$458.46	$3,247.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $2,164.00 / $2,477.29	Facility		$1,663.61	$2,164.00	$2,477.29
United Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $250.07 / $757.33	Professional		$143.97	$250.07	$757.33