Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.68 / $2,987.00 / $6,915.00	Facility		$172.68	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $172.68 / $343.90	Professional		$113.25	$172.68	$343.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $191.80 / $300.00	Professional		$191.80	$191.80	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $206.59 / $364.80	Professional		$134.28	$206.59	$364.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $211.55 / $304.88	Facility		$179.46	$211.55	$304.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $237.13 / $399.77	Professional		$128.13	$237.13	$399.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $180.11 / $426.55	Professional		$120.50	$180.11	$426.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $293.64 / $297.18	Professional		$293.64	$293.64	$297.18
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $239.71 / $404.14	Professional		$159.68	$239.71	$404.14