Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $2,987.00 / $6,915.00	Facility		$130.51	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $171.41 / $400.15	Professional		$105.79	$171.41	$400.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $276.63 / $294.02	Professional		$142.72	$276.63	$294.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $209.51 / $355.08	Professional		$128.13	$209.51	$355.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.09 / $145.03 / $160.56	Facility		$107.09	$145.03	$160.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $197.34 / $346.78	Professional		$195.36	$197.34	$346.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $103.38 / $103.38	Facility		$103.38	$103.38	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $222.51 / $378.30	Professional		$134.08	$222.51	$378.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $180.98 / $431.87	Professional		$117.80	$180.98	$431.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $256.39 / $256.55	Professional		$256.39	$256.39	$256.55
United Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,550.00 / $2,665.00	Facility		$389.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $208.05 / $344.85	Professional		$153.72	$208.05	$344.85