Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.05 / $2,678.00 / $6,726.00	Facility		$175.05	$2,678.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $171.42 / $342.92	Professional		$81.56	$171.42	$342.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $140.06 / $152.00	Professional		$79.12	$140.06	$152.00
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 $106.26 / $202.08 / $419.11	Professional		$106.26	$202.08	$419.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.52 / $272.52 / $272.52	Facility		$272.52	$272.52	$272.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $75.81 / $75.81	Professional		$75.81	$75.81	$75.81
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 $103.85 / $190.60 / $381.06	Professional		$103.85	$190.60	$381.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $193.13 / $391.89	Professional		$91.52	$193.13	$391.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $287.73 / $368.70	Professional		$75.59	$287.73	$368.70
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 $162.00 / $230.02 / $406.03	Professional		$162.00	$230.02	$406.03