Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $2,492.79 / $3,204.20	Facility		$323.70	$2,492.79	$3,204.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $387.19 / $614.77	Professional		$306.67	$387.19	$614.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $504.41 / $511.23	Professional		$351.98	$504.41	$511.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.64 / $954.30 / $2,501.62	Facility		$681.64	$954.30	$2,501.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.41 / $566.77 / $1,088.20	Professional		$363.41	$566.77	$1,088.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.46 / $579.39 / $1,261.03	Facility		$562.46	$579.39	$1,261.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.39 / $579.39 / $579.39	Professional		$579.39	$579.39	$579.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $786.00	Professional		$306.22	$419.48	$786.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $681.64 / $946.63	Professional		$518.04	$681.64	$946.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $647.55 / $750.65 / $1,286.25	Professional		$647.55	$750.65	$1,286.25
United Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $340.06 / $561.04	Professional		$226.71	$340.06	$561.04