Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.11 / $3,282.86 / $3,462.88	Facility		$855.11	$3,282.86	$3,462.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.10 / $960.89 / $1,592.51	Professional		$810.10	$960.89	$1,592.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,332.47 / $1,332.47 / $1,350.47	Professional		$1,332.47	$1,332.47	$1,350.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,800.63 / $2,520.88 / $6,608.31	Facility		$1,800.63	$2,520.88	$6,608.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.17 / $1,497.20 / $2,874.62	Professional		$941.17	$1,497.20	$2,874.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,485.81 / $1,530.54 / $3,331.17	Facility		$1,485.81	$1,530.54	$3,331.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,530.54 / $1,530.54 / $1,530.54	Professional		$1,530.54	$1,530.54	$1,530.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,433.06	Facility		$1,162.20	$1,162.20	$1,433.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,133.66 / $2,076.38	Professional		$848.41	$1,133.66	$2,076.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.48 / $1,800.63 / $2,502.00	Professional		$1,368.48	$1,800.63	$2,502.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.17 / $3,061.07 / $3,397.78	Professional		$2,226.17	$3,061.07	$3,397.78
United Facility/Professional Professional Modifier Low / Median / High Price $598.88 / $898.32 / $1,497.20	Professional		$598.88	$898.32	$1,497.20