Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.29 / $2,224.00 / $4,708.00	Facility		$129.29	$2,224.00	$4,708.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $103.03 / $230.54	Professional		$48.27	$103.03	$230.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $187.05 / $187.05	Professional		$187.05	$187.05	$187.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $120.63 / $214.89	Professional		$62.93	$120.63	$214.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $65.81 / $199.47	Facility		$53.39	$65.81	$199.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $120.64 / $125.30	Professional		$101.95	$120.64	$125.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $124.74 / $252.12	Professional		$61.96	$124.74	$252.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $120.64 / $255.97	Professional		$60.34	$120.64	$255.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.33 / $1,663.61 / $1,750.00	Facility		$1,178.33	$1,663.61	$1,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $96.10 / $193.86	Professional		$60.34	$96.10	$193.86
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 $96.49 / $162.33 / $283.49	Professional		$96.49	$162.33	$283.49