Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.84 / $1,669.16 / $3,492.20	Facility		$538.84	$1,669.16	$3,492.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.66 / $645.36 / $901.39	Professional		$503.66	$645.36	$901.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $585.90 / $839.64 / $839.64	Professional		$585.90	$839.64	$839.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.65 / $1,588.51 / $4,164.17	Facility		$1,134.65	$1,588.51	$4,164.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.09 / $943.44 / $1,811.40	Professional		$557.09	$943.44	$1,811.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.90 / $964.45 / $2,099.10	Facility		$857.90	$964.45	$2,099.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $964.45 / $964.45 / $964.45	Professional		$964.45	$964.45	$964.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,170.00	Professional		$461.73	$632.51	$1,170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.33 / $1,134.65 / $1,576.55	Professional		$862.33	$1,134.65	$1,576.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.24 / $1,451.56 / $2,099.10	Professional		$939.24	$1,451.56	$2,099.10
United Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $553.74 / $1,108.06	Professional		$377.38	$553.74	$1,108.06