Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.62 / $2,677.95 / $6,121.78	Facility		$324.62	$2,677.95	$6,121.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $270.16 / $626.90	Professional		$189.73	$270.16	$626.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $287.35 / $381.07	Professional		$230.44	$287.35	$381.07
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 $219.39 / $332.21 / $632.16	Professional		$219.39	$332.21	$632.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.76 / $248.16 / $269.18	Facility		$184.76	$248.16	$269.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.31 / $271.39 / $479.41	Professional		$268.31	$271.39	$479.41
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 $220.10 / $375.37 / $573.66	Professional		$220.10	$375.37	$573.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $266.83 / $935.52	Professional		$221.71	$266.83	$935.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $299.45 / $439.39	Professional		$196.58	$299.45	$439.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $6,165.00	Facility		$1,036.00	$3,629.00	$6,165.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $369.12 / $583.89	Professional		$230.70	$369.12	$583.89