Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.80 / $5,055.00 / $6,915.00	Facility		$961.80	$5,055.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.54 / $478.12	Professional		$202.40	$242.54	$478.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Professional		$144.69	$144.69	$144.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $324.75 / $555.83	Professional		$213.81	$324.75	$555.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Facility		$308.00	$308.00	$308.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $1,761.45	Facility		$506.00	$868.00	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $322.98 / $519.39	Professional		$218.24	$322.98	$519.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $276.25 / $569.07	Professional		$212.50	$276.25	$569.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $389.30 / $548.10	Professional		$5.00	$389.30	$548.10
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $286.18 / $542.80	Professional		$197.55	$286.18	$542.80