Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $2,960.00 / $6,900.00	Facility		$238.55	$2,960.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $238.55 / $544.27	Professional		$197.28	$238.55	$544.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $325.70 / $467.97	Professional		$141.13	$325.70	$467.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $309.16 / $567.87	Professional		$207.69	$309.16	$567.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.03 / $340.03 / $340.03	Facility		$340.03	$340.03	$340.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $355.82 / $2,500.00	Facility		$174.45	$355.82	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $350.86 / $555.86	Professional		$224.97	$350.86	$555.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.53 / $331.87 / $611.36	Professional		$238.53	$331.87	$611.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $369.12 / $916.90	Professional		$317.76	$369.12	$916.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $311.23 / $561.75	Professional		$205.22	$311.23	$561.75