Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.74 / $789.74 / $789.74	Facility		$789.74	$789.74	$789.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $756.08 / $986.02	Professional		$557.60	$756.08	$986.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,697.14 / $2,697.14 / $2,697.14	Professional		$2,697.14	$2,697.14	$2,697.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.94 / $918.09 / $1,471.64	Professional		$610.94	$918.09	$1,471.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.22 / $794.22 / $794.22	Facility		$794.22	$794.22	$794.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $703.20 / $703.20 / $703.20	Professional		$703.20	$703.20	$703.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $876.11	Facility		$876.11	$876.11	$876.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.16 / $863.70 / $1,664.31	Professional		$637.16	$863.70	$1,664.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.20 / $966.16 / $3,760.00	Professional		$743.20	$966.16	$3,760.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $713.64 / $1,009.40 / $1,416.95	Professional		$713.64	$1,009.40	$1,416.95
United Facility/Professional Professional Modifier Low / Median / High Price $576.09 / $764.60 / $1,322.25	Professional		$576.09	$764.60	$1,322.25