Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.15 / $3,214.00 / $6,915.00	Facility		$157.15	$3,214.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $172.78 / $359.23	Professional		$123.14	$172.78	$359.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $273.74 / $319.52	Professional		$191.41	$273.74	$319.52
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 $123.67 / $190.40 / $332.68	Professional		$123.67	$190.40	$332.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $170.96 / $253.49	Facility		$128.85	$170.96	$253.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $180.17 / $194.03	Professional		$138.59	$180.17	$194.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $208.55 / $2,500.00	Facility		$94.34	$208.55	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $215.87 / $383.54	Professional		$143.25	$215.87	$383.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $212.22 / $846.46	Professional		$146.99	$212.22	$846.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $259.66 / $279.72	Professional		$200.43	$259.66	$279.72
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $218.24 / $351.60	Professional		$128.86	$218.24	$351.60