Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.34 / $3,038.28 / $5,917.00	Facility		$149.34	$3,038.28	$5,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $149.34 / $309.51	Professional		$77.14	$149.34	$309.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $136.02 / $155.91	Professional		$83.66	$136.02	$155.91
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 $114.89 / $182.54 / $324.69	Professional		$114.89	$182.54	$324.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $136.91 / $416.92	Facility		$107.15	$136.91	$416.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $184.04 / $193.75	Professional		$154.28	$184.04	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $162.63 / $323.33	Professional		$96.20	$162.63	$323.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $184.04 / $247.20	Professional		$125.51	$184.04	$247.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $184.04 / $273.55	Professional		$125.51	$184.04	$273.55
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $198.66 / $377.41	Professional		$130.72	$198.66	$377.41