Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.18 / $2,987.00 / $6,915.00	Facility		$235.18	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $239.20 / $465.56	Professional		$133.24	$239.20	$465.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $439.55 / $439.55	Professional		$419.05	$439.55	$439.55
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 $166.36 / $286.69 / $501.58	Professional		$166.36	$286.69	$501.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.44 / $284.44 / $284.44	Facility		$284.44	$284.44	$284.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $126.39 / $126.39	Professional		$126.39	$126.39	$126.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $338.00 / $546.00	Facility		$187.44	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $273.64 / $515.32	Professional		$156.13	$273.64	$515.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $272.26 / $408.73	Professional		$157.30	$272.26	$408.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $253.04 / $529.10	Professional		$143.62	$253.04	$529.10
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $289.60 / $512.41	Professional		$210.02	$289.60	$512.41