Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.79 / $425.79 / $1,063.11	Facility		$425.79	$425.79	$1,063.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.79 / $537.84 / $758.55	Professional		$425.79	$537.84	$758.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $387.14 / $900.95 / $1,351.43	Professional		$387.14	$900.95	$1,351.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.98 / $1,000.97 / $2,623.98	Facility		$714.98	$1,000.97	$2,623.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.48 / $875.56 / $1,557.56	Professional		$643.48	$875.56	$1,557.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.74 / $714.98 / $1,351.43	Facility		$556.74	$714.98	$1,351.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $607.73	Professional		$607.73	$607.73	$607.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $748.13	Professional		$464.99	$464.99	$748.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.89 / $714.98 / $1,725.00	Professional		$547.89	$714.98	$1,725.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $654.99 / $916.28 / $1,322.71	Professional		$654.99	$916.28	$1,322.71
United Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $542.26 / $866.03	Professional		$361.50	$542.26	$866.03