Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.18 / $2,221.00 / $5,917.00	Facility		$273.18	$2,221.00	$5,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $295.27 / $565.26	Professional		$169.60	$295.27	$565.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $272.52 / $523.47	Professional		$141.33	$272.52	$523.47
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 $198.00 / $315.11 / $579.20	Professional		$198.00	$315.11	$579.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $235.08 / $741.58	Facility		$185.54	$235.08	$741.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $336.11 / $354.04	Professional		$282.66	$336.11	$354.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $324.14 / $629.54	Professional		$208.53	$324.14	$629.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $336.11 / $410.84	Professional		$215.49	$336.11	$410.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $336.11 / $501.67	Professional		$215.49	$336.11	$501.67
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 $250.32 / $378.18 / $699.80	Professional		$250.32	$378.18	$699.80