Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $3,460.00 / $6,915.00	Facility		$224.69	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $214.95 / $417.91	Professional		$135.51	$214.95	$417.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $375.95 / $406.77	Professional		$258.47	$375.95	$406.77
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 $161.54 / $266.44 / $476.95	Professional		$161.54	$266.44	$476.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.68 / $288.68 / $288.68	Facility		$288.68	$288.68	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.47 / $249.95 / $640.00	Facility		$194.47	$249.95	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $254.30 / $459.61	Professional		$163.28	$254.30	$459.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $257.01 / $527.91	Professional		$176.23	$257.01	$527.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $330.85 / $393.99	Professional		$231.20	$330.85	$393.99
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 $175.82 / $268.79 / $488.55	Professional		$175.82	$268.79	$488.55