Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.95 / $3,360.00 / $7,245.00	Facility		$264.95	$3,360.00	$7,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $338.17 / $722.67	Professional		$138.72	$338.17	$722.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $401.15 / $597.79	Professional		$236.62	$401.15	$597.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $229.68 / $409.88	Professional		$144.32	$229.68	$409.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.62 / $720.62 / $720.62	Facility		$720.62	$720.62	$720.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $244.41 / $974.44	Facility		$244.41	$244.41	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $372.66 / $826.11	Professional		$173.26	$372.66	$826.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.68 / $401.15 / $841.94	Professional		$172.68	$401.15	$841.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $354.87 / $634.25	Professional		$176.77	$354.87	$634.25
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $542.50 / $795.60	Professional		$322.45	$542.50	$795.60