Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.53 / $3,460.00 / $6,915.00	Facility		$496.53	$3,460.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $98.98 / $267.86 / $408.27	Facility	52	$98.98	$267.86	$408.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $471.21 / $1,235.33	Professional		$195.87	$471.21	$1,235.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $288.50 / $358.99	Professional		$194.65	$288.50	$358.99
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 $258.97 / $541.11 / $1,318.40	Professional		$258.97	$541.11	$1,318.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.36 / $265.16 / $357.72	Facility		$223.36	$265.16	$357.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.94 / $1,225.02 / $1,225.02	Professional		$181.94	$1,225.02	$1,225.02
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 Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.07 / $517.53 / $1,345.27	Professional		$260.07	$517.53	$1,345.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $587.45 / $992.79	Professional		$222.36	$587.45	$992.79
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $543.23 / $693.41 / $1,650.36	Professional	22	$543.23	$693.41	$1,650.36
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $158.44 / $202.24 / $481.36	Professional	52	$158.44	$202.24	$481.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $502.80 / $1,086.78	Professional		$278.45	$502.80	$1,086.78
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,805.00 / $5,272.00	Facility		$550.00	$2,805.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.91 / $677.66 / $1,365.39	Professional		$343.91	$677.66	$1,365.39