Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,630.78 / $7,413.10	Facility		$229.09	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $407.38	Professional		$107.15	$208.93	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $245.47	Professional		$97.72	$147.91	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $398.11	Professional		$151.36	$229.09	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $602.56	Facility		$181.97	$223.87	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $263.03	Professional		$218.78	$239.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $467.74	Professional		$138.04	$239.88	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $354.81	Professional		$154.88	$269.15	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $354.81	Professional		$204.17	$309.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,511.89	Facility		$309.03	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $467.74	Professional		$162.18	$263.03	$467.74