Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,290.87 / $7,079.46	Facility		$275.42	$2,290.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $562.34	Professional		$158.49	$275.42	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $549.54	Professional		$158.49	$281.84	$549.54
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 $181.97 / $269.15 / $478.63	Professional		$181.97	$269.15	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $724.44	Facility		$223.87	$275.42	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $331.13	Professional		$275.42	$302.00	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $645.65	Professional		$194.98	$316.23	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $436.52	Professional		$190.55	$338.84	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $446.68	Professional		$245.47	$389.05	$446.68
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 $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54