Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.43 / $2,221.00 / $5,595.00	Facility		$247.43	$2,221.00	$5,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $255.12 / $527.00	Professional		$143.55	$255.12	$527.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $397.48 / $507.45	Professional		$149.69	$397.48	$507.45
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 $170.88 / $280.02 / $508.08	Professional		$170.88	$280.02	$508.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $199.12 / $623.63	Facility		$156.75	$199.12	$623.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $300.64 / $316.49	Professional		$251.87	$300.64	$316.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $285.33 / $551.87	Professional		$179.12	$285.33	$551.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $300.64 / $327.43	Professional		$182.52	$300.64	$327.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $291.44 / $449.20	Professional		$182.52	$291.44	$449.20
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 $236.82 / $334.76 / $705.02	Professional		$236.82	$334.76	$705.02