Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,168.69 / $7,413.10	Facility		$234.42	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $398.11	Professional		$131.83	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $389.05	Professional		$194.98	$208.93	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,089.30 / $4,677.35	Facility		$676.08	$2,089.30	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $436.52	Professional		$169.82	$275.42	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $501.19 / $741.31	Facility		$169.82	$501.19	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $446.68	Professional		$147.91	$239.88	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $426.58	Professional		$144.54	$245.47	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $457.09 / $575.44	Professional		$5.01	$457.09	$575.44
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 $134.90 / $223.87 / $398.11	Professional		$134.90	$223.87	$398.11