Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.33 / $3,826.00 / $9,335.00	Facility		$319.33	$3,826.00	$9,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $315.14 / $578.89	Professional		$134.33	$315.14	$578.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $231.93 / $241.01	Professional		$193.63	$231.93	$241.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $309.32 / $605.27	Professional		$167.89	$309.32	$605.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.81 / $174.89 / $193.63	Facility		$129.81	$174.89	$193.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.36 / $339.09 / $584.92	Professional		$336.36	$339.09	$584.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.87 / $325.70 / $659.27	Professional		$164.87	$325.70	$659.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $317.29 / $522.91	Professional		$155.77	$317.29	$522.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $3,250.00	Facility		$2,363.12	$2,363.12	$3,250.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $422.17 / $672.98	Professional		$292.95	$422.17	$672.98