Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.55 / $2,902.24 / $5,386.02	Facility		$296.55	$2,902.24	$5,386.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $376.77 / $496.07	Professional		$296.55	$376.77	$496.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.44 / $462.10 / $468.35	Professional		$322.44	$462.10	$468.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.46 / $874.24 / $2,291.77	Facility		$624.46	$874.24	$2,291.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $519.23 / $996.92	Professional		$332.92	$519.23	$996.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.79 / $634.83 / $1,155.25	Facility		$530.79	$634.83	$1,155.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $530.79 / $530.79	Professional		$530.79	$530.79	$530.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $865.88	Professional		$382.28	$382.28	$865.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.59 / $624.46 / $867.66	Professional		$474.59	$624.46	$867.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.58 / $1,082.82 / $1,178.35	Professional		$1,061.58	$1,082.82	$1,178.35
United Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $311.54 / $519.23	Professional		$207.69	$311.54	$519.23