Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.69 / $1,030.20 / $2,706.06	Facility		$433.69	$1,030.20	$2,706.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.37 / $547.82 / $1,144.74	Professional		$411.37	$547.82	$1,144.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $1,080.00 / $1,350.00	Professional		$763.00	$1,080.00	$1,350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.24 / $1,278.54 / $3,351.59	Facility		$913.24	$1,278.54	$3,351.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $759.34 / $1,457.93	Professional		$330.00	$759.34	$1,457.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.24 / $776.25 / $1,689.49	Facility		$677.24	$776.25	$1,689.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $915.33	Professional		$335.80	$460.00	$915.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.06 / $913.24 / $1,268.69	Professional		$694.06	$913.24	$1,268.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $1,168.30 / $1,689.49	Professional		$698.63	$1,168.30	$1,689.49
United Facility/Professional Professional Modifier Low / Median / High Price $303.74 / $428.86 / $751.66	Professional		$303.74	$428.86	$751.66