Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $606.35 / $891.33	Facility		$575.50	$606.35	$891.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.26 / $801.90	Professional		$575.50	$581.26	$801.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $998.75 / $998.75 / $1,125.75	Professional		$998.75	$998.75	$1,125.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $920.80 / $2,112.09	Facility		$575.50	$920.80	$2,112.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $587.01	Professional		$575.50	$575.50	$587.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $1,127.98	Facility		$575.50	$575.50	$1,127.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $542.92 / $575.50	Facility		$542.92	$542.92	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $732.95	Professional		$575.50	$575.50	$732.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $789.72 / $1,478.52	Professional		$301.87	$789.72	$1,478.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.97 / $920.80 / $1,185.92	Professional		$540.97	$920.80	$1,185.92
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $704.48	Professional		$575.50	$575.50	$704.48