Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.39 / $2,434.00 / $5,063.00	Facility		$235.39	$2,434.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $191.64 / $410.88	Professional		$136.09	$191.64	$410.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $171.79 / $305.62	Professional		$127.25	$171.79	$305.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $5,388.99	Facility		$734.14	$2,080.80	$5,388.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $235.74 / $425.27	Professional		$161.97	$235.74	$425.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $178.15 / $192.84	Facility		$132.59	$178.15	$192.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $200.81 / $353.02	Professional		$198.37	$200.81	$353.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.69 / $263.45 / $411.61	Professional		$168.69	$263.45	$411.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $196.99 / $626.35	Professional		$159.11	$196.99	$626.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $216.52 / $322.26	Professional		$143.94	$216.52	$322.26
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,559.00 / $6,000.00	Facility		$772.00	$2,559.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $235.80 / $390.32	Professional		$171.58	$235.80	$390.32