Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.98 / $2,987.00 / $6,915.00	Facility		$264.98	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $263.13 / $534.13	Professional		$214.16	$263.13	$534.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.81 / $152.81 / $152.81	Professional		$152.81	$152.81	$152.81
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 $233.02 / $334.28 / $602.86	Professional		$233.02	$334.28	$602.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.50 / $395.50 / $395.50	Facility		$395.50	$395.50	$395.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $395.53 / $2,500.00	Facility		$177.38	$395.53	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $379.81 / $625.39	Professional		$245.88	$379.81	$625.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $371.46 / $653.02	Professional		$266.98	$371.46	$653.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.85 / $406.29 / $470.16	Professional		$320.85	$406.29	$470.16
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 $226.08 / $343.00 / $597.24	Professional		$226.08	$343.00	$597.24