Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.65 / $2,221.00 / $5,175.00	Facility		$228.65	$2,221.00	$5,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $237.71 / $468.79	Professional		$137.43	$237.71	$468.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $267.36 / $470.46	Professional		$174.60	$267.36	$470.46
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 $149.47 / $253.24 / $468.12	Professional		$149.47	$253.24	$468.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $178.31 / $557.66	Facility		$139.97	$178.31	$557.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $278.74 / $293.58	Professional		$232.80	$278.74	$293.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $256.49 / $508.14	Professional		$153.86	$256.49	$508.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $267.22 / $302.64	Professional		$163.44	$267.22	$302.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $265.24 / $414.97	Professional		$163.44	$265.24	$414.97
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 $207.01 / $286.79 / $580.36	Professional		$207.01	$286.79	$580.36