Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,548.13 / $7,413.10	Facility		$436.52	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $1,148.15	Professional		$181.97	$416.87	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $707.95	Professional		$346.74	$426.58	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $630.96	Professional		$239.88	$426.58	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $588.84	Facility		$213.80	$263.03	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $436.52	Professional		$371.54	$398.11	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $776.25	Professional		$169.82	$363.08	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $446.68 / $741.31	Professional		$169.82	$446.68	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $588.84	Professional		$239.88	$512.86	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $758.58	Professional		$199.53	$398.11	$758.58