Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $2,987.00 / $6,915.00	Facility		$243.79	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $326.35 / $732.86	Professional		$147.35	$326.35	$732.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.45 / $462.40 / $605.54	Professional		$235.45	$462.40	$605.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,768.07 / $3,327.00 / $5,919.06	Facility		$1,768.07	$3,327.00	$5,919.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $366.09 / $802.92	Professional		$172.87	$366.09	$802.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.75 / $275.00 / $320.81	Facility		$233.75	$275.00	$320.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $392.45 / $744.98	Professional		$185.89	$392.45	$744.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $294.23 / $997.48	Professional		$155.35	$294.23	$997.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $261.88 / $507.49	Professional		$140.13	$261.88	$507.49
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $507.95 / $870.61	Professional		$317.47	$507.95	$870.61