Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,630.78 / $7,413.10	Facility		$302.00	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $457.09	Professional		$162.18	$234.42	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $295.12	Professional		$194.98	$245.47	$295.12
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 $194.98 / $316.23 / $489.78	Professional		$194.98	$316.23	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $512.86 / $707.95	Facility		$162.18	$512.86	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $478.63	Professional		$173.78	$269.15	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $489.78	Professional		$177.83	$281.84	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $489.78 / $616.60	Professional		$5.01	$489.78	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $5,248.07	Facility		$512.86	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $446.68	Professional		$162.18	$245.47	$446.68