Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.69 / $1,698.81 / $2,109.17	Facility		$683.69	$1,698.81	$2,109.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.86 / $863.61 / $1,312.24	Professional		$660.86	$863.61	$1,312.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,150.00 / $2,150.00 / $2,150.00	Professional		$2,150.00	$2,150.00	$2,150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.67 / $2,015.54 / $5,283.59	Facility		$1,439.67	$2,015.54	$5,283.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.18 / $1,197.07 / $2,298.37	Professional		$758.18	$1,197.07	$2,298.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.14 / $1,223.72 / $2,663.39	Facility		$1,141.14	$1,223.72	$2,663.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,223.72 / $1,223.72 / $1,223.72	Professional		$1,223.72	$1,223.72	$1,223.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $829.42 / $1,634.25	Professional		$613.64	$829.42	$1,634.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.15 / $1,439.67 / $2,000.09	Professional		$1,094.15	$1,439.67	$2,000.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.72 / $1,841.77 / $2,663.39	Professional		$1,283.72	$1,841.77	$2,663.39
United Facility/Professional Professional Modifier Low / Median / High Price $478.83 / $718.24 / $1,184.97	Professional		$478.83	$718.24	$1,184.97