Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $2,572.00 / $6,915.00	Facility		$137.46	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $137.46 / $287.86	Professional		$92.74	$137.46	$287.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $191.06 / $726.24	Professional		$191.06	$191.06	$726.24
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 $98.54 / $147.71 / $254.93	Professional		$98.54	$147.71	$254.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.65 / $207.86 / $299.31	Facility		$172.65	$207.86	$299.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $168.47 / $2,500.00	Facility		$112.59	$168.47	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $178.33 / $299.00	Professional		$113.27	$178.33	$299.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $172.67 / $338.93	Professional		$118.40	$172.67	$338.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $168.65 / $244.01	Professional		$98.67	$168.65	$244.01
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 $120.71 / $189.59 / $340.33	Professional		$120.71	$189.59	$340.33