Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.77 / $3,214.00 / $6,915.00	Facility		$363.77	$3,214.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $261.47 / $415.24	Professional		$82.44	$261.47	$415.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $272.04 / $685.01	Professional		$113.62	$272.04	$685.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.95 / $526.95 / $526.95	Facility		$526.95	$526.95	$526.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $80.79 / $80.79	Professional		$80.79	$80.79	$80.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $506.00 / $703.00	Facility		$147.93	$506.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $243.12 / $709.70	Professional		$103.19	$243.12	$709.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $314.14 / $938.77	Professional		$99.06	$314.14	$938.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $273.02 / $636.39	Professional		$85.99	$273.02	$636.39
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $426.38 / $759.50	Professional		$208.74	$426.38	$759.50