Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.52 / $2,861.45 / $6,915.00	Facility		$361.52	$2,861.45	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $357.64 / $651.58	Professional		$225.24	$357.64	$651.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.01 / $291.39 / $402.91	Professional		$239.01	$291.39	$402.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.51 / $458.38 / $750.05	Professional		$259.51	$458.38	$750.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.68 / $448.68 / $448.68	Facility		$448.68	$448.68	$448.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $210.99 / $210.99	Professional		$210.99	$210.99	$210.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $799.55	Facility		$338.00	$535.00	$799.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $402.58 / $751.91	Professional		$244.80	$402.58	$751.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $399.74 / $608.29	Professional		$261.77	$399.74	$608.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $618.29 / $949.20	Professional		$5.00	$618.29	$949.20
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 $309.08 / $442.31 / $752.35	Professional		$309.08	$442.31	$752.35