Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $4,338.00 / $6,915.00	Facility		$188.00	$4,338.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $284.16 / $534.60	Professional		$161.29	$284.16	$534.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $559.65	Professional		$86.94	$86.94	$559.65
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 $181.59 / $307.51 / $585.98	Professional		$181.59	$307.51	$585.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $247.66 / $247.66	Facility		$247.66	$247.66	$247.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $164.57 / $164.57	Professional		$164.57	$164.57	$164.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.19 / $506.00 / $703.00	Facility		$270.19	$506.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.81 / $300.36 / $597.08	Professional		$157.81	$300.36	$597.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $304.14 / $514.00	Professional		$208.83	$304.14	$514.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $319.35 / $555.29	Professional		$27.40	$319.35	$555.29
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 $203.31 / $327.47 / $651.02	Professional		$203.31	$327.47	$651.02