Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $2,987.00 / $6,915.00	Facility		$216.57	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $228.41 / $437.68	Professional		$166.92	$228.41	$437.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $167.38 / $167.38	Professional		$167.38	$167.38	$167.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $258.38 / $517.37	Professional		$175.42	$258.38	$517.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $452.01 / $452.01 / $452.01	Facility		$452.01	$452.01	$452.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $302.72 / $657.54	Facility		$302.72	$302.72	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $300.95 / $538.04	Professional		$188.84	$300.95	$538.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $296.20 / $599.20	Professional		$210.32	$296.20	$599.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $277.19 / $324.25 / $383.30	Professional		$277.19	$324.25	$383.30
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,300.00 / $4,066.00	Facility		$772.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $326.85 / $538.28	Professional		$182.83	$326.85	$538.28