Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.02 / $3,360.00 / $6,915.00	Facility		$181.02	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $170.01 / $355.52	Professional		$107.49	$170.01	$355.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $364.00 / $366.12	Professional		$183.80	$364.00	$366.12
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 $115.50 / $179.99 / $303.52	Professional		$115.50	$179.99	$303.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.74 / $205.74 / $205.74	Facility		$205.74	$205.74	$205.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $196.86 / $2,500.00	Facility		$140.18	$196.86	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $225.14 / $401.73	Professional		$142.43	$225.14	$401.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $218.01 / $942.00	Professional		$137.69	$218.01	$942.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.98 / $306.87 / $323.83	Professional		$186.98	$306.87	$323.83
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 $149.80 / $235.61 / $437.41	Professional		$149.80	$235.61	$437.41