Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.22 / $1,359.12 / $1,448.43	Facility		$455.22	$1,359.12	$1,448.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.50 / $568.47 / $1,128.23	Professional		$413.50	$568.47	$1,128.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $978.48 / $978.48 / $978.48	Professional		$978.48	$978.48	$978.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $1,053.01 / $2,760.39	Facility		$752.15	$1,053.01	$2,760.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.93 / $970.53 / $1,672.25	Professional		$676.93	$970.53	$1,672.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.73 / $752.15 / $1,467.72	Facility		$542.73	$752.15	$1,467.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $639.33 / $639.33	Professional		$639.33	$639.33	$639.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $1,024.80	Professional		$537.70	$537.70	$1,024.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $752.15 / $1,653.00	Professional		$514.79	$752.15	$1,653.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $924.48 / $1,278.65 / $1,429.05	Professional		$924.48	$1,278.65	$1,429.05
United Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $601.07 / $942.99	Professional		$400.72	$601.07	$942.99