Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $2,800.00 / $6,915.00	Facility		$184.03	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $177.86 / $317.33	Professional		$125.41	$177.86	$317.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $124.23	Professional		$124.23	$124.23	$124.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $195.00 / $338.15	Professional		$130.69	$195.00	$338.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $252.93 / $252.93	Facility		$252.93	$252.93	$252.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $1,153.31	Facility		$223.58	$223.58	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $231.00 / $387.00	Professional		$151.97	$231.00	$387.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $220.66 / $420.77	Professional		$156.10	$220.66	$420.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $237.64 / $302.92	Professional		$178.80	$237.64	$302.92
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $233.73 / $386.74	Professional		$154.40	$233.73	$386.74