Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.72 / $476.72 / $1,132.41	Facility		$476.72	$476.72	$1,132.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $580.60 / $797.47	Professional		$476.72	$580.60	$797.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $742.85 / $742.85 / $742.85	Professional		$742.85	$742.85	$742.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,405.39 / $3,684.13	Facility		$1,003.85	$1,405.39	$3,684.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $834.68 / $1,602.59	Professional		$535.17	$834.68	$1,602.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $853.27 / $952.07 / $1,857.12	Facility		$853.27	$952.07	$1,857.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.27 / $853.27 / $853.27	Professional		$853.27	$853.27	$853.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,341.41	Professional		$457.90	$457.90	$1,341.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.93 / $1,003.85 / $1,515.73	Professional		$762.93	$1,003.85	$1,515.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.08 / $1,254.81 / $1,279.90	Professional		$1,241.08	$1,254.81	$1,279.90
United Facility/Professional Facility Modifier Low / Median / High Price $308.69 / $496.34 / $556.00	Facility		$308.69	$496.34	$556.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $500.81 / $826.24	Professional		$333.87	$500.81	$826.24