Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.74 / $838.00 / $1,660.68	Professional		$644.74	$838.00	$1,660.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $888.46 / $1,600.00	Professional		$100.00	$888.46	$1,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.20 / $1,162.82 / $1,950.05	Professional		$598.20	$1,162.82	$1,950.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $719.68 / $816.40 / $920.90	Professional		$719.68	$816.40	$920.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.29 / $1,056.61 / $2,352.40	Professional		$727.29	$1,056.61	$2,352.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.45 / $965.54 / $4,606.66	Professional		$668.45	$965.54	$4,606.66
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $590.67 / $590.67 / $2,158.66	Professional	52	$590.67	$590.67	$2,158.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $692.85 / $1,117.56 / $1,521.91	Professional		$692.85	$1,117.56	$1,521.91
United Facility/Professional Professional Modifier Low / Median / High Price $431.97 / $742.79 / $1,670.82	Professional		$431.97	$742.79	$1,670.82