Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,221.00 / $5,917.00	Facility		$494.00	$2,221.00	$5,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $286.07 / $513.23	Professional		$176.00	$286.07	$513.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.97 / $313.97 / $313.97	Professional		$313.97	$313.97	$313.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,482.13 / $45,787.48 / $53,867.62	Facility		$21,482.13	$45,787.48	$53,867.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.18 / $263.23 / $511.36	Professional		$171.18	$263.23	$511.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.11 / $228.96 / $253.49	Facility		$169.11	$228.96	$253.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $215.84 / $384.44	Professional		$212.47	$215.84	$384.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,903.00 / $23,903.00 / $23,903.00	Facility		$23,903.00	$23,903.00	$23,903.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $315.89 / $572.90	Professional		$220.09	$315.89	$572.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $236.75 / $897.00	Professional		$169.11	$236.75	$897.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.47 / $4,233.47 / $16,725.00	Facility		$4,233.47	$4,233.47	$16,725.00
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.64 / $292.50 / $457.19	Professional		$180.64	$292.50	$457.19