Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.20 / $3,365.00 / $15,142.50	Facility		$286.20	$3,365.00	$15,142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $125.36 / $236.06	Professional		$106.04	$125.36	$236.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $120.28 / $212.67	Professional		$115.38	$120.28	$212.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $171.00 / $200.00	Facility		$155.00	$171.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $157.28 / $263.70	Professional		$106.22	$157.28	$263.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.33 / $139.33 / $139.33	Facility		$139.33	$139.33	$139.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $111.97 / $111.97	Professional		$111.97	$111.97	$111.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $210.00 / $1,009.00	Facility		$126.00	$210.00	$1,009.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $162.97 / $276.26	Professional		$111.46	$162.97	$276.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $153.44 / $369.89	Professional		$118.03	$153.44	$369.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $182.21 / $255.20	Professional		$135.72	$182.21	$255.20
United Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $140.54 / $234.89	Professional		$110.65	$140.54	$234.89