Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.62 / $2,341.48 / $6,644.29	Facility		$438.62	$2,341.48	$6,644.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.62 / $519.50 / $759.21	Professional		$438.62	$519.50	$759.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.86 / $660.35 / $1,200.72	Professional		$366.86	$660.35	$1,200.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.63 / $1,293.08 / $3,389.72	Facility		$923.63	$1,293.08	$3,389.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $767.97 / $1,474.50	Professional		$487.49	$767.97	$1,474.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $785.09 / $1,708.72	Facility		$681.40	$785.09	$1,708.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $785.09 / $785.09 / $785.09	Professional		$785.09	$785.09	$785.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $527.86 / $966.75	Professional		$397.66	$527.86	$966.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.96 / $923.63 / $1,283.16	Professional		$701.96	$923.63	$1,283.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.17 / $1,601.57 / $1,742.88	Professional		$1,570.17	$1,601.57	$1,742.88
United Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $460.78 / $760.20	Professional		$307.19	$460.78	$760.20