Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.53 / $3,460.00 / $6,915.00	Facility		$230.53	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $228.88 / $427.76	Professional		$130.50	$228.88	$427.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.35 / $267.35 / $267.35	Professional		$267.35	$267.35	$267.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $200.12 / $379.76	Professional		$145.07	$200.12	$379.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $217.60 / $300.18 / $569.64	Professional	50	$217.60	$300.18	$569.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $303.33 / $74,999.25	Facility		$248.60	$303.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $204.30 / $411.00	Facility		$163.44	$204.30	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $276.02 / $544.22	Professional		$158.63	$276.02	$544.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $293.27 / $1,151.27	Professional		$165.60	$293.27	$1,151.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $329.63 / $359.98	Professional		$201.26	$329.63	$359.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.13 / $287.12 / $541.67	Professional		$220.13	$287.12	$541.67