Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $2,422.00 / $6,915.00	Facility		$131.44	$2,422.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $213.11 / $487.23	Professional		$72.98	$213.11	$487.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $500.94 / $500.94	Professional		$96.27	$500.94	$500.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $212.51 / $542.23	Professional		$82.09	$212.51	$542.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $270.20 / $270.20	Facility		$270.20	$270.20	$270.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Professional		$69.70	$69.70	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $589.00 / $2,880.00	Facility		$246.76	$589.00	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $205.50 / $534.44	Professional		$81.99	$205.50	$534.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $247.07 / $395.76	Professional		$85.72	$247.07	$395.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $358.45 / $536.90	Professional		$76.59	$358.45	$536.90
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $301.94 / $587.57	Professional		$209.63	$301.94	$587.57