Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.71 / $3,391.00 / $6,915.00	Facility		$555.71	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $141.41 / $295.49	Professional		$111.41	$141.41	$295.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $178.60 / $232.47	Professional		$123.17	$178.60	$232.47
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 $120.41 / $181.00 / $321.42	Professional		$120.41	$181.00	$321.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.04 / $200.04 / $200.04	Facility		$200.04	$200.04	$200.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $150.62 / $640.00	Facility		$150.62	$150.62	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $200.35 / $339.12	Professional		$132.47	$200.35	$339.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $210.14 / $803.00	Professional		$144.47	$210.14	$803.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $234.39 / $242.98	Professional		$201.65	$234.39	$242.98
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 $112.89 / $175.29 / $323.20	Professional		$112.89	$175.29	$323.20