Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,168.69 / $7,413.10	Facility		$288.40	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $446.68	Professional		$131.83	$229.09	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $295.12	Professional		$117.49	$177.83	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $398.11	Professional		$177.83	$257.04	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $562.34	Facility		$173.78	$218.78	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $251.19	Professional		$213.80	$229.09	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $446.68	Professional		$141.25	$245.47	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $389.05	Professional		$154.88	$269.15	$389.05
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $302.00 / $302.00 / $457.09	Professional	22	$302.00	$302.00	$457.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,951.21	Facility		$1,737.80	$1,737.80	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $478.63	Professional		$162.18	$269.15	$478.63