Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $3,360.00 / $6,915.00	Facility		$256.41	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $246.35 / $458.70	Professional		$153.68	$246.35	$458.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $291.41 / $291.41	Professional		$291.41	$291.41	$291.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $303.41 / $526.15	Professional		$188.01	$303.41	$526.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $341.74 / $341.74	Facility		$341.74	$341.74	$341.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.39 / $270.31 / $2,500.00	Facility		$215.39	$270.31	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $295.33 / $536.05	Professional		$185.36	$295.33	$536.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $291.41 / $599.97	Professional		$189.05	$291.41	$599.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $326.55 / $443.51	Professional		$216.53	$326.55	$443.51
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 $212.37 / $311.07 / $565.47	Professional		$212.37	$311.07	$565.47