Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $2,987.00 / $6,915.00	Facility		$122.50	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $162.19 / $391.18	Professional		$98.62	$162.19	$391.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.49 / $258.49 / $275.04	Professional		$258.49	$258.49	$275.04
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 $119.08 / $196.79 / $338.16	Professional		$119.08	$196.79	$338.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $133.34 / $147.62	Facility		$98.48	$133.34	$147.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $184.64 / $323.52	Professional		$182.72	$184.64	$323.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $98.48 / $98.48	Facility		$98.48	$98.48	$98.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $210.92 / $356.82	Professional		$125.03	$210.92	$356.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $166.43 / $410.72	Professional		$108.33	$166.43	$410.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $239.99 / $241.69	Professional		$239.99	$239.99	$241.69
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 $144.32 / $195.64 / $325.08	Professional		$144.32	$195.64	$325.08