Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $1,571.00 / $6,726.00	Facility		$219.78	$1,571.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $291.08 / $563.05	Professional		$129.37	$291.08	$563.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $131.31 / $547.64	Professional		$98.48	$131.31	$547.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $206.22 / $377.67	Professional		$141.69	$206.22	$377.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.87 / $403.87 / $403.87	Facility		$403.87	$403.87	$403.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $237.21 / $2,500.00	Facility		$146.88	$237.21	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $301.74 / $659.26	Professional		$149.05	$301.74	$659.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $383.46 / $805.93	Professional		$168.41	$383.46	$805.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $281.76 / $622.71	Professional		$181.04	$281.76	$622.71
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.46 / $388.89 / $786.03	Professional		$248.46	$388.89	$786.03