Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.10 / $1,128.29 / $1,128.29	Facility		$642.10	$1,128.29	$1,128.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $724.21 / $1,807.01	Professional		$618.75	$724.21	$1,807.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $779.59 / $1,306.75 / $3,627.30	Professional		$779.59	$1,306.75	$3,627.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.02 / $942.36 / $1,608.64	Professional		$725.02	$942.36	$1,608.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.24 / $940.24 / $940.24	Facility		$940.24	$940.24	$940.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $704.93 / $704.93 / $704.93	Professional		$704.93	$704.93	$704.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.41 / $1,064.06 / $1,759.65	Professional		$737.41	$1,064.06	$1,759.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.47 / $1,009.62 / $4,953.00	Professional		$742.47	$1,009.62	$4,953.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $1,117.74 / $1,462.60	Professional		$706.53	$1,117.74	$1,462.60
United Facility/Professional Professional Modifier Low / Median / High Price $715.14 / $943.66 / $1,548.64	Professional		$715.14	$943.66	$1,548.64