Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.67 / $1,266.63 / $1,266.63	Facility		$741.67	$1,266.63	$1,266.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.85 / $810.83 / $2,021.22	Professional		$709.85	$810.83	$2,021.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $1,124.42 / $1,917.70	Professional		$832.90	$1,124.42	$1,917.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.09 / $1,075.13 / $1,856.69	Professional		$828.09	$1,075.13	$1,856.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $920.55 / $1,169.25 / $1,665.80	Facility		$920.55	$1,169.25	$1,665.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $1,028.71 / $1,355.37	Professional		$822.97	$1,028.71	$1,355.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,214.02 / $2,032.39	Professional		$852.13	$1,214.02	$2,032.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.55 / $1,166.06 / $4,397.47	Professional		$857.55	$1,166.06	$4,397.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $815.63 / $1,286.33 / $1,636.97	Professional		$815.63	$1,286.33	$1,636.97
United Facility/Professional Professional Modifier Low / Median / High Price $852.98 / $1,068.65 / $1,744.12	Professional		$852.98	$1,068.65	$1,744.12