Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $2,438.00 / $6,858.00	Facility		$135.94	$2,438.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $167.96 / $430.16	Professional		$85.82	$167.96	$430.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $233.93 / $233.93	Professional		$233.93	$233.93	$233.93
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 $114.69 / $187.09 / $306.44	Professional		$114.69	$187.09	$306.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $119.65 / $369.18	Facility		$94.68	$119.65	$369.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.09 / $171.05 / $181.63	Professional		$144.09	$171.05	$181.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $212.68 / $359.77	Professional		$116.03	$212.68	$359.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $171.05 / $362.95	Professional		$109.68	$171.05	$362.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $234.81 / $234.90	Professional		$234.81	$234.81	$234.90
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 $144.34 / $231.64 / $398.08	Professional		$144.34	$231.64	$398.08