Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $398.50 / $946.60	Facility		$398.50	$398.50	$946.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.50 / $517.35 / $946.60	Professional		$398.50	$517.35	$946.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $620.96 / $620.96 / $620.96	Professional		$620.96	$620.96	$620.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.14 / $1,174.80 / $3,079.64	Facility		$839.14	$1,174.80	$3,079.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.37 / $697.73 / $1,339.64	Professional		$447.37	$697.73	$1,339.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.27 / $787.62 / $1,552.41	Facility		$713.27	$787.62	$1,552.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.27 / $713.27 / $713.27	Professional		$713.27	$713.27	$713.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,074.38	Professional		$382.77	$524.34	$1,074.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.75 / $839.14 / $1,266.42	Professional		$637.75	$839.14	$1,266.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.54 / $1,455.06 / $1,583.45	Professional		$1,426.54	$1,455.06	$1,583.45
United Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $418.64 / $690.68	Professional		$279.08	$418.64	$690.68