Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,630.78 / $7,413.10	Facility		$213.80	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $295.12	Professional		$128.82	$173.78	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $151.36 / $239.88 / $354.81	Professional		$151.36	$239.88	$354.81
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 $309.03 / $416.87 / $549.54	Facility		$309.03	$416.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $380.19	Professional		$138.04	$208.93	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $371.54	Professional		$151.36	$213.80	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $457.09	Professional		$5.01	$346.74	$457.09
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 $128.82 / $181.97 / $331.13	Professional		$128.82	$181.97	$331.13