Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.41 / $2,760.00 / $6,915.00	Facility		$313.41	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $388.33 / $866.91	Professional		$183.65	$388.33	$866.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.46 / $478.36 / $721.14	Professional		$351.46	$478.36	$721.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $406.96 / $754.84	Professional		$212.34	$406.96	$754.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.60 / $220.81 / $585.00	Facility		$176.60	$220.81	$585.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $440.09 / $464.63	Professional		$367.97	$440.09	$464.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $356.64 / $762.93	Professional		$176.79	$356.64	$762.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $440.09 / $740.97	Professional		$202.41	$440.09	$740.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $404.77 / $651.53	Professional		$202.41	$404.77	$651.53
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 $354.79 / $522.28 / $1,030.61	Professional		$354.79	$522.28	$1,030.61