Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.37 / $3,391.00 / $6,915.00	Facility		$213.37	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $213.37 / $391.53	Professional		$106.69	$213.37	$391.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $193.45 / $222.67	Professional		$112.44	$193.45	$222.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $259.77 / $455.51	Professional		$158.97	$259.77	$455.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $190.00 / $595.84	Facility		$149.63	$190.00	$595.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.48 / $262.14 / $276.75	Professional		$220.48	$262.14	$276.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $237.27 / $459.85	Professional		$134.09	$237.27	$459.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $262.14 / $356.43	Professional		$174.16	$262.14	$356.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $261.10 / $389.58	Professional		$172.41	$261.10	$389.58
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 $208.22 / $301.98 / $545.79	Professional		$208.22	$301.98	$545.79