Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.99 / $3,164.00 / $6,915.00	Facility		$228.99	$3,164.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $255.18 / $481.38	Professional		$132.05	$255.18	$481.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $221.06 / $476.37	Professional		$189.48	$221.06	$476.37
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 $160.74 / $288.04 / $547.04	Professional		$160.74	$288.04	$547.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.38 / $301.38 / $301.38	Facility		$301.38	$301.38	$301.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $123.48 / $123.48	Professional		$123.48	$123.48	$123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.88 / $506.00 / $703.00	Facility		$210.88	$506.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $288.69 / $559.90	Professional		$153.91	$288.69	$559.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $267.64 / $436.22	Professional		$153.31	$267.64	$436.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $272.38 / $560.60	Professional		$139.97	$272.38	$560.60
United Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $2,150.00 / $5,272.00	Facility		$535.00	$2,150.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $319.54 / $557.16	Professional		$226.70	$319.54	$557.16