Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.35 / $2,120.00 / $5,917.00	Facility		$226.35	$2,120.00	$5,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $212.91 / $494.47	Professional		$97.89	$212.91	$494.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $142.66 / $425.13	Professional		$83.22	$142.66	$425.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $233.59 / $462.37	Professional		$116.41	$233.59	$462.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.54 / $233.54 / $233.54	Facility		$233.54	$233.54	$233.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $92.97 / $92.97	Professional		$92.97	$92.97	$92.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $652.00	Facility		$334.00	$535.00	$652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $220.79 / $491.29	Professional		$112.44	$220.79	$491.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $209.00 / $345.13	Professional		$116.28	$209.00	$345.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $238.01 / $408.66	Professional		$116.73	$238.01	$408.66
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $259.45 / $473.02	Professional		$181.02	$259.45	$473.02