Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.52 / $2,221.00 / $6,858.00	Facility		$194.52	$2,221.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $194.52 / $401.44	Professional		$132.90	$194.52	$401.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $190.46 / $251.60	Professional		$126.97	$190.46	$251.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $254.89 / $420.33	Professional		$158.72	$254.89	$420.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $257.20 / $257.20	Facility		$257.20	$257.20	$257.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $124.11 / $124.11	Professional		$124.11	$124.11	$124.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.49 / $338.00 / $546.00	Facility		$140.49	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $241.04 / $419.26	Professional		$147.56	$241.04	$419.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $215.87 / $328.49	Professional		$155.41	$215.87	$328.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $366.90 / $513.60	Professional		$5.00	$366.90	$513.60
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $249.13 / $417.59	Professional		$177.35	$249.13	$417.59