Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $3,391.00 / $6,915.00	Facility		$212.76	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $217.55 / $670.60	Professional		$126.76	$217.55	$670.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $370.91 / $373.05	Professional		$224.82	$370.91	$373.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $258.67 / $410.55	Professional		$156.63	$258.67	$410.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.38 / $324.38 / $324.38	Facility		$324.38	$324.38	$324.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $113.94 / $113.94	Professional		$113.94	$113.94	$113.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $266.41 / $464.01	Professional		$147.75	$266.41	$464.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $229.75 / $1,003.68	Professional		$139.25	$229.75	$1,003.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $257.70 / $388.43	Professional		$156.55	$257.70	$388.43
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 $188.02 / $276.19 / $465.51	Professional		$188.02	$276.19	$465.51