Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $2,095.00 / $5,063.00	Facility		$140.76	$2,095.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $144.61 / $306.97	Professional		$89.14	$144.61	$306.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $232.76 / $253.01	Professional		$149.34	$232.76	$253.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $159.09 / $289.52	Professional		$103.34	$159.09	$289.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.19 / $124.74 / $374.33	Facility		$97.19	$124.74	$374.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $162.24 / $170.81	Professional		$135.75	$162.24	$170.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $162.36 / $323.77	Professional		$94.65	$162.36	$323.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $162.24 / $189.43	Professional		$114.35	$162.24	$189.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $192.75 / $296.33	Professional		$164.66	$192.75	$296.33
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $170.75 / $333.60	Professional		$116.66	$170.75	$333.60