Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,467.37 / $7,413.10	Facility		$234.42	$3,467.37	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $489.78	Professional		$117.49	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $436.52	Professional		$114.82	$165.96	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $4,677.35	Facility		$588.84	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $426.58	Professional		$134.90	$239.88	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $977.24	Facility		$338.84	$549.54	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $467.74	Professional		$128.82	$229.09	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $489.78	Professional		$141.25	$281.84	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $436.52 / $691.83	Professional		$5.01	$436.52	$691.83
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 $114.82 / $208.93 / $398.11	Professional		$114.82	$208.93	$398.11