Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.05 / $2,404.00 / $6,900.00	Facility		$184.05	$2,404.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $199.46 / $344.10	Professional		$107.61	$199.46	$344.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $197.97 / $323.33	Professional		$113.20	$197.97	$323.33
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 $127.58 / $229.92 / $430.52	Professional		$127.58	$229.92	$430.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.01 / $234.01 / $234.01	Facility		$234.01	$234.01	$234.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Professional		$101.32	$101.32	$101.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $338.00 / $546.00	Facility		$147.93	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $218.94 / $438.44	Professional		$123.27	$218.94	$438.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $219.59 / $340.15	Professional		$126.14	$219.59	$340.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $241.50 / $385.20	Professional		$119.20	$241.50	$385.20
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 $169.33 / $238.68 / $435.63	Professional		$169.33	$238.68	$435.63