Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.55 / $1,900.00 / $5,175.00	Facility		$268.55	$1,900.00	$5,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $270.38 / $555.54	Professional		$166.44	$270.38	$555.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $219.07 / $557.54	Professional		$138.81	$219.07	$557.54
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 $192.99 / $306.27 / $569.66	Professional		$192.99	$306.27	$569.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.94 / $230.71 / $728.88	Facility		$181.94	$230.71	$728.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.63 / $330.33 / $348.18	Professional		$277.63	$330.33	$348.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $312.37 / $618.99	Professional		$196.58	$312.37	$618.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $330.33 / $360.92	Professional		$211.49	$330.33	$360.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $330.33 / $492.81	Professional		$211.49	$330.33	$492.81
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 $246.57 / $356.79 / $678.39	Professional		$246.57	$356.79	$678.39