Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $2,987.00 / $6,915.00	Facility		$331.03	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $423.34 / $801.92	Professional		$172.76	$423.34	$801.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $226.20 / $343.79	Professional		$113.10	$226.20	$343.79
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 $185.78 / $284.45 / $513.27	Professional		$185.78	$284.45	$513.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.34 / $626.34 / $626.34	Facility		$626.34	$626.34	$626.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $313.77 / $974.44	Facility		$313.77	$313.77	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $444.85 / $913.58	Professional		$209.32	$444.85	$913.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $536.60 / $1,127.31	Professional		$222.20	$536.60	$1,127.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $487.73 / $975.01	Professional		$238.87	$487.73	$975.01
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 $337.53 / $524.71 / $1,050.64	Professional		$337.53	$524.71	$1,050.64