Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.50 / $2,146.14 / $5,063.00	Facility		$431.50	$2,146.14	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $206.59 / $493.14	Professional		$84.65	$206.59	$493.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $160.53 / $160.53	Professional		$123.84	$160.53	$160.53
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 $115.62 / $233.24 / $444.93	Professional		$115.62	$233.24	$444.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $198.92 / $305.48	Facility		$180.27	$198.92	$305.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $282.68 / $525.47	Professional		$136.91	$282.68	$525.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $255.35 / $1,466.00	Professional		$103.88	$255.35	$1,466.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $174.71 / $441.95	Professional		$141.30	$174.71	$441.95
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $361.49 / $621.15	Professional		$251.17	$361.49	$621.15