Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.02 / $2,401.89 / $6,080.83	Facility		$286.02	$2,401.89	$6,080.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $343.22 / $458.51	Professional		$286.02	$343.22	$458.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.61 / $445.69 / $445.69	Professional		$430.61	$445.69	$445.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.28 / $843.19 / $2,210.37	Facility		$602.28	$843.19	$2,210.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $500.79 / $961.52	Professional		$321.10	$500.79	$961.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $473.58 / $511.94 / $1,114.22	Facility		$473.58	$511.94	$1,114.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Professional		$511.94	$511.94	$511.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $371.40 / $680.25	Professional		$272.20	$371.40	$680.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $602.28 / $841.35	Professional		$457.73	$602.28	$841.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.88 / $1,044.35 / $1,136.51	Professional		$1,023.88	$1,044.35	$1,136.51
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $300.47 / $588.16	Professional		$200.32	$300.47	$588.16