Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.19 / $3,214.00 / $6,915.00	Facility		$167.19	$3,214.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $172.67 / $359.58	Professional		$107.39	$172.67	$359.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $161.15 / $275.29	Professional		$117.75	$161.15	$275.29
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 $146.15 / $213.06 / $384.08	Professional		$146.15	$213.06	$384.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $197.45 / $526.92	Facility		$174.36	$197.45	$526.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $186.91 / $364.72	Professional		$121.74	$186.91	$364.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $207.37 / $307.58	Professional		$159.83	$207.37	$307.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $220.95 / $309.10	Professional		$150.82	$220.95	$309.10
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 $166.57 / $237.22 / $431.77	Professional		$166.57	$237.22	$431.77