Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $1,200.48 / $5,692.94	Facility		$483.14	$1,200.48	$5,692.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.10 / $610.28 / $899.76	Professional		$472.10	$610.28	$899.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $752.85 / $752.85 / $752.85	Professional		$752.85	$752.85	$752.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.36 / $1,424.30 / $3,733.71	Facility		$1,017.36	$1,424.30	$3,733.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.55 / $845.92 / $1,624.17	Professional		$541.55	$845.92	$1,624.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $839.48 / $864.76 / $1,882.12	Facility		$839.48	$864.76	$1,882.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $864.76 / $864.76 / $864.76	Professional		$864.76	$864.76	$864.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,207.90	Professional		$518.38	$518.38	$1,207.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.19 / $1,017.36 / $1,413.42	Professional		$773.19	$1,017.36	$1,413.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.51 / $1,764.11 / $1,919.76	Professional		$1,729.51	$1,764.11	$1,919.76
United Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $507.55 / $837.36	Professional		$338.37	$507.55	$837.36