Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.58 / $3,018.00 / $5,595.00	Facility		$311.58	$3,018.00	$5,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $279.37 / $515.87	Professional		$134.18	$279.37	$515.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $175.51 / $564.02	Professional		$97.51	$175.51	$564.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $309.91 / $614.02	Professional		$163.88	$309.91	$614.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.04 / $322.04 / $322.04	Facility		$322.04	$322.04	$322.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $127.08 / $127.08	Professional		$127.08	$127.08	$127.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,765.90	Facility		$334.00	$535.00	$1,765.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $298.52 / $624.76	Professional		$156.50	$298.52	$624.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $309.93 / $478.49	Professional		$157.72	$309.93	$478.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $317.02 / $623.10	Professional		$144.02	$317.02	$623.10
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,333.00 / $6,953.00	Facility		$580.00	$3,333.00	$6,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $353.19 / $652.85	Professional		$248.00	$353.19	$652.85