Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.30 / $2,572.00 / $6,915.00	Facility		$126.30	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $151.01 / $356.72	Professional		$72.90	$151.01	$356.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $251.03 / $280.25	Professional		$251.03	$251.03	$280.25
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 $86.44 / $167.68 / $302.02	Professional		$86.44	$167.68	$302.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $99.32 / $109.96	Facility		$74.17	$99.32	$109.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.67 / $179.86 / $311.69	Professional		$178.67	$179.86	$311.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $127.48 / $127.48	Facility		$127.48	$127.48	$127.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $162.61 / $338.09	Professional		$97.49	$162.61	$338.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $161.40 / $205.42	Professional		$81.59	$161.40	$205.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.71 / $237.71 / $241.88	Professional		$237.71	$237.71	$241.88
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $185.77 / $325.33	Professional		$140.88	$185.77	$325.33