Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $2,987.00 / $6,915.00	Facility		$149.63	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $149.63 / $267.07	Professional		$89.27	$149.63	$267.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $154.31 / $266.38	Professional		$154.31	$154.31	$266.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $584.52 / $1,569.00	Facility		$366.00	$584.52	$1,569.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $194.65 / $360.82	Professional		$116.06	$194.65	$360.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $283.52 / $283.52	Facility		$283.52	$283.52	$283.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $83.11 / $83.11	Professional		$83.11	$83.11	$83.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $589.00 / $1,233.00	Facility		$153.58	$589.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $188.97 / $334.90	Professional		$111.08	$188.97	$334.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $165.90 / $275.85	Professional		$100.26	$165.90	$275.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $164.00 / $398.20	Professional		$4.00	$164.00	$398.20
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $208.60 / $378.60	Professional		$134.79	$208.60	$378.60