Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $3,391.00 / $6,915.00	Facility		$149.72	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $135.26 / $246.60	Professional		$82.43	$135.26	$246.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Professional		$141.63	$141.63	$141.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $130.33 / $231.40	Professional		$77.93	$130.33	$231.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $106.81 / $158.99	Facility		$81.45	$106.81	$158.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $153.93 / $165.77	Professional		$119.45	$153.93	$165.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $657.54	Facility		$133.82	$133.82	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $189.71 / $343.00	Professional		$104.11	$189.71	$343.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $155.91 / $636.94	Professional		$91.55	$155.91	$636.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $142.62 / $252.68	Professional		$80.09	$142.62	$252.68
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $222.87 / $332.08	Professional		$130.99	$222.87	$332.08