Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $2,438.00 / $6,915.00	Facility		$141.47	$2,438.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $518.25 / $1,034.25	Professional		$68.84	$518.25	$1,034.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $98.85 / $1,025.82	Professional		$98.85	$98.85	$1,025.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $231.09 / $1,198.33	Professional		$90.54	$231.09	$1,198.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $869.75 / $869.75 / $869.75	Facility		$869.75	$869.75	$869.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $64.42 / $64.42	Professional		$64.42	$64.42	$64.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,233.00	Facility		$506.00	$700.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $205.55 / $1,191.05	Professional		$88.72	$205.55	$1,191.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $538.74 / $813.50	Professional		$77.72	$538.74	$813.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $571.35 / $1,228.80	Professional		$70.09	$571.35	$1,228.80
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 $533.14 / $756.68 / $1,288.38	Professional		$533.14	$756.68	$1,288.38