Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $3,360.00 / $7,090.48	Facility		$153.33	$3,360.00	$7,090.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $153.33 / $326.43	Professional		$98.45	$153.33	$326.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $280.58 / $586.95	Professional		$101.21	$280.58	$586.95
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 $107.00 / $165.30 / $280.08	Professional		$107.00	$165.30	$280.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $180.41 / $180.41	Facility		$180.41	$180.41	$180.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $181.52 / $2,500.00	Facility		$115.26	$181.52	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $196.93 / $354.40	Professional		$129.43	$196.93	$354.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $196.47 / $863.00	Professional		$127.18	$196.47	$863.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $264.20 / $279.58	Professional		$172.63	$264.20	$279.58
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 $128.54 / $206.15 / $351.44	Professional		$128.54	$206.15	$351.44