Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,235.94 / $7,413.10	Facility		$194.98	$3,235.94	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $416.87	Professional		$104.71	$186.21	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $331.13	Professional		$107.15	$158.49	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,737.80 / $3,467.37	Facility		$549.54	$1,737.80	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $380.19	Professional		$144.54	$229.09	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $549.54	Facility		$144.54	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $380.19	Professional		$117.49	$194.98	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $363.08	Professional		$114.82	$208.93	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $354.81 / $501.19	Professional		$5.01	$354.81	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,230.27 / $2,344.23	Facility		$81.28	$1,230.27	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $316.23	Professional		$107.15	$177.83	$316.23