Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.37 / $3,360.00 / $6,915.00	Facility		$299.37	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $293.52 / $599.80	Professional		$244.78	$293.52	$599.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.32 / $445.32 / $445.32	Professional		$445.32	$445.32	$445.32
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 $230.57 / $372.56 / $632.51	Professional		$230.57	$372.56	$632.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.71 / $417.71 / $417.71	Facility		$417.71	$417.71	$417.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.26 / $394.33 / $2,500.00	Facility		$196.26	$394.33	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $412.23 / $667.99	Professional		$263.18	$412.23	$667.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.52 / $384.21 / $634.92	Professional		$264.52	$384.21	$634.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.11 / $416.05 / $489.49	Professional		$359.11	$416.05	$489.49
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 $244.71 / $377.57 / $621.24	Professional		$244.71	$377.57	$621.24