Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,630.78 / $7,413.10	Facility		$269.15	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $309.03	Professional		$85.11	$190.55	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,698.24 / $4,365.16	Facility		$588.84	$1,698.24	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $380.19	Professional		$117.49	$213.80	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,000.00	Facility		$338.84	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $407.38	Professional		$102.33	$204.17	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $457.09	Professional		$102.33	$239.88	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $371.54 / $588.84	Professional		$3.98	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,248.07	Facility		$524.81	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $346.74	Professional		$93.33	$186.21	$346.74