Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,630.78 / $7,413.10	Facility		$218.78	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $338.84	Professional		$114.82	$199.53	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $4,677.35	Facility		$588.84	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $407.38	Professional		$154.88	$251.19	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,778.28	Facility		$338.84	$537.03	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $426.58	Professional		$125.89	$213.80	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $416.87	Professional		$131.83	$239.88	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $426.58 / $588.84	Professional		$5.01	$426.58	$588.84
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 $114.82 / $199.53 / $363.08	Professional		$114.82	$199.53	$363.08