Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.36 / $1,897.65 / $3,975.92	Facility		$513.36	$1,897.65	$3,975.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.65 / $648.45 / $1,081.00	Professional		$501.65	$648.45	$1,081.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $558.17 / $799.94 / $810.75	Professional		$558.17	$799.94	$810.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.00 / $1,513.40 / $3,967.27	Facility		$1,081.00	$1,513.40	$3,967.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.30 / $898.83 / $1,725.75	Professional		$576.30	$898.83	$1,725.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.99 / $918.85 / $1,999.85	Facility		$891.99	$918.85	$1,999.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $918.85 / $918.85 / $918.85	Professional		$918.85	$918.85	$918.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $860.28	Facility		$731.38	$731.38	$860.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $1,246.50	Professional		$533.91	$533.91	$1,246.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.56 / $1,081.00 / $1,511.00	Professional		$821.56	$1,081.00	$1,511.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.70 / $1,874.45 / $2,039.85	Professional		$1,837.70	$1,874.45	$2,039.85
United Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $539.29 / $889.73	Professional		$359.53	$539.29	$889.73