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 $123.03 / $199.53 / $363.08	Professional		$123.03	$199.53	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,548.13	Facility		$549.54	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $407.38	Professional		$165.96	$251.19	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $549.54	Facility		$380.19	$467.74	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $426.58	Professional		$138.04	$213.80	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $416.87	Professional		$138.04	$239.88	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $363.08 / $537.03	Professional		$5.01	$363.08	$537.03
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 $125.89 / $204.17 / $363.08	Professional		$125.89	$204.17	$363.08