Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.38 / $3,214.00 / $6,726.00	Facility		$330.38	$3,214.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $256.77 / $626.73	Professional		$85.49	$256.77	$626.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $93.49 / $172.09	Professional		$78.31	$93.49	$172.09
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 $113.20 / $279.10 / $707.71	Professional		$113.20	$279.10	$707.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $114.06 / $135.65	Facility		$84.36	$114.06	$135.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $330.06 / $421.77	Professional		$258.56	$330.06	$421.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $894.69	Facility		$334.00	$535.00	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $243.75 / $633.19	Professional		$112.27	$243.75	$633.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $284.31 / $426.47	Professional		$97.01	$284.31	$426.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $426.62 / $765.50	Professional		$122.20	$426.62	$765.50
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 $276.47 / $392.88 / $684.11	Professional		$276.47	$392.88	$684.11