Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.60 / $3,826.00 / $6,915.00	Facility		$303.60	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $185.76 / $393.50	Professional		$154.37	$185.76	$393.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $191.50 / $281.14	Professional		$180.97	$191.50	$281.14
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 $156.33 / $262.86 / $435.20	Professional		$156.33	$262.86	$435.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $256.38 / $256.38	Facility		$256.38	$256.38	$256.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
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 $180.00 / $265.56 / $466.39	Professional		$180.00	$265.56	$466.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $199.21 / $752.90	Professional		$153.24	$199.21	$752.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.22 / $245.61 / $372.40	Professional		$200.22	$245.61	$372.40
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 $155.82 / $225.95 / $373.21	Professional		$155.82	$225.95	$373.21