Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.18 / $3,207.60 / $6,915.00	Facility		$259.18	$3,207.60	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $176.21 / $445.35	Professional		$78.27	$176.21	$445.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $148.47 / $228.22	Professional		$148.47	$148.47	$228.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $220.13 / $462.37	Professional		$96.88	$220.13	$462.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.56 / $316.56 / $316.56	Facility		$316.56	$316.56	$316.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $974.44	Facility		$147.60	$147.60	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $194.67 / $440.93	Professional		$91.59	$194.67	$440.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $262.24 / $545.66	Professional		$101.23	$262.24	$545.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $347.44 / $420.02	Professional		$130.75	$347.44	$420.02
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $274.19 / $514.35	Professional		$188.51	$274.19	$514.35