Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.47 / $4,592.00 / $6,915.00	Facility		$350.47	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.05 / $373.43 / $725.44	Professional		$213.05	$373.43	$725.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $388.69 / $592.69	Professional		$328.40	$388.69	$592.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,260.19 / $3,862.88	Facility		$875.94	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $416.37 / $745.92	Professional		$263.30	$416.37	$745.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $288.97 / $921.55	Facility		$227.97	$288.97	$921.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.36 / $420.62 / $442.96	Professional		$353.36	$420.62	$442.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $422.13 / $846.56	Professional		$272.83	$422.13	$846.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $420.62 / $545.61	Professional		$264.89	$420.62	$545.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $420.62 / $628.66	Professional		$264.89	$420.62	$628.66
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 $349.50 / $501.87 / $907.23	Professional		$349.50	$501.87	$907.23