Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,235.94 / $7,244.36	Facility		$331.13	$3,235.94	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $602.56	Professional		$169.82	$309.03	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $575.44	Professional		$162.18	$245.47	$575.44
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 $218.78 / $354.81 / $588.84	Professional		$218.78	$354.81	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,698.24	Facility		$380.19	$537.03	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $588.84	Professional		$190.55	$316.23	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $630.96	Professional		$194.98	$346.74	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $524.81 / $831.76	Professional		$5.01	$524.81	$831.76
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 $169.82 / $288.40 / $512.86	Professional		$169.82	$288.40	$512.86