Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.71 / $568.71 / $1,860.34	Facility		$568.71	$568.71	$1,860.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.77 / $718.37 / $1,347.74	Professional		$538.77	$718.37	$1,347.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $1,980.00 / $1,980.00	Professional		$1,980.00	$1,980.00	$1,980.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.49 / $1,257.89 / $3,297.46	Facility		$898.49	$1,257.89	$3,297.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.91 / $1,291.03 / $2,195.87	Professional		$800.91	$1,291.03	$2,195.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $898.49 / $1,910.70	Facility		$648.30	$898.49	$1,910.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.72 / $763.72 / $763.72	Professional		$763.72	$763.72	$763.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $1,043.89	Professional		$623.53	$623.53	$1,043.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $898.49 / $2,329.00	Professional		$682.85	$898.49	$2,329.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.51 / $1,104.35 / $1,662.21	Professional		$507.51	$1,104.35	$1,662.21
United Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $822.73 / $1,161.67	Professional		$548.49	$822.73	$1,161.67