Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.15 / $2,592.00 / $6,915.00	Facility		$183.15	$2,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $171.68 / $352.06	Professional		$104.04	$171.68	$352.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $165.11 / $179.99	Professional		$101.79	$165.11	$179.99
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 $148.90 / $217.82 / $391.29	Professional		$148.90	$217.82	$391.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.68 / $178.50 / $538.86	Facility		$139.68	$178.50	$538.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $213.28 / $223.41	Professional		$179.67	$213.28	$223.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $187.16 / $373.67	Professional		$123.52	$187.16	$373.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $213.28 / $284.54	Professional		$163.63	$213.28	$284.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $227.08 / $318.12	Professional		$155.11	$227.08	$318.12
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 $170.93 / $236.57 / $435.37	Professional		$170.93	$236.57	$435.37