Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,235.94 / $7,079.46	Facility		$288.40	$3,235.94	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $380.19	Professional		$81.28	$169.82	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $151.36	Professional		$75.86	$109.65	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $4,677.35	Facility		$588.84	$1,819.70	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $426.58	Professional		$120.23	$229.09	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,096.48	Facility		$338.84	$549.54	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $354.81	Professional		$97.72	$181.97	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $389.05	Professional		$83.18	$190.55	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $354.81 / $467.74	Professional		$5.01	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $5,248.07	Facility		$512.86	$2,454.71	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $316.23	Professional		$85.11	$165.96	$316.23