Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $2,987.00 / $6,915.00	Facility		$127.71	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $136.66 / $266.91	Professional		$73.86	$136.66	$266.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $246.84 / $276.00	Professional		$179.58	$246.84	$276.00
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 $87.73 / $146.93 / $265.95	Professional		$87.73	$146.93	$265.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $103.74 / $326.87	Facility		$81.61	$103.74	$326.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $158.94 / $167.81	Professional		$133.02	$158.94	$167.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $134.13 / $279.32	Professional		$76.98	$134.13	$279.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $158.94 / $228.76	Professional		$95.10	$158.94	$228.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $147.62 / $235.44	Professional		$95.09	$147.62	$235.44
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 $124.37 / $184.30 / $362.68	Professional		$124.37	$184.30	$362.68