Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $3,018.00 / $6,726.00	Facility		$157.57	$3,018.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $176.25 / $413.30	Professional		$71.34	$176.25	$413.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $134.54 / $193.49	Professional		$105.29	$134.54	$193.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $123.58 / $235.37	Professional		$76.93	$123.58	$235.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $148.22 / $174.56	Facility		$125.99	$148.22	$174.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $193.33 / $458.92	Professional		$89.14	$193.33	$458.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $219.93 / $602.44	Professional		$84.53	$219.93	$602.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $165.85 / $345.27	Professional		$65.42	$165.85	$345.27
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $235.82 / $461.03	Professional		$170.52	$235.82	$461.03