Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.31 / $3,295.00 / $6,915.00	Facility		$305.31	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.77 / $372.00 / $784.10	Professional		$168.77	$372.00	$784.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $214.93 / $295.58	Professional		$206.97	$214.93	$295.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $410.09 / $869.21	Professional		$213.34	$410.09	$869.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.58 / $283.58 / $283.58	Facility		$283.58	$283.58	$283.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $155.63 / $155.63	Professional		$155.63	$155.63	$155.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,091.58	Facility		$448.00	$715.00	$1,091.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.12 / $387.60 / $955.40	Professional		$205.12	$387.60	$955.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $427.85 / $737.27	Professional		$190.13	$427.85	$737.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $386.50 / $763.56	Professional		$189.29	$386.50	$763.56
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $468.00 / $926.04	Professional		$230.20	$468.00	$926.04