Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,630.78 / $7,413.10	Facility		$194.98	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $316.23	Professional		$107.15	$154.88	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $263.03	Professional		$75.86	$75.86	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,238.72 / $4,786.30	Facility		$691.83	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $316.23	Professional		$138.04	$208.93	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $380.19 / $549.54	Facility		$104.71	$380.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $323.59	Professional		$114.82	$181.97	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Professional		$120.23	$177.83	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $316.23 / $389.05	Professional		$5.01	$316.23	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $281.84	Professional		$104.71	$158.49	$281.84