Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $2,221.00 / $6,915.00	Facility		$292.58	$2,221.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $288.98 / $610.63	Professional		$187.98	$288.98	$610.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $366.15 / $519.37	Professional		$169.65	$366.15	$519.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $364.81 / $594.39	Professional		$204.05	$364.81	$594.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $251.97 / $307.20	Facility		$191.70	$251.97	$307.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.95 / $322.43 / $418.88	Professional		$257.95	$322.43	$418.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $338.00 / $546.00	Facility		$216.00	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $333.52 / $590.00	Professional		$199.29	$333.52	$590.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $287.55 / $489.55	Professional		$220.46	$287.55	$489.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.59 / $1,019.59 / $1,019.59	Facility		$1,019.59	$1,019.59	$1,019.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $372.66 / $517.52	Professional		$258.80	$372.66	$517.52
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 $233.04 / $333.14 / $605.47	Professional		$233.04	$333.14	$605.47