Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.78 / $2,960.00 / $6,726.00	Facility		$240.78	$2,960.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $248.50 / $556.27	Professional		$125.63	$248.50	$556.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.64 / $427.65 / $475.87	Professional		$242.64	$427.65	$475.87
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 $131.63 / $202.42 / $364.99	Professional		$131.63	$202.42	$364.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.54 / $275.27 / $412.89	Facility		$228.54	$275.27	$412.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $224.98 / $640.00	Facility		$218.06	$224.98	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $273.47 / $549.16	Professional		$157.80	$273.47	$549.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $275.93 / $570.97	Professional		$156.83	$275.93	$570.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $297.14 / $416.70	Professional		$182.11	$297.14	$416.70
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,300.00 / $4,066.00	Facility		$772.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.27 / $326.77 / $534.90	Professional		$221.27	$326.77	$534.90