Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $511.87 / $56,316.00	Facility		$258.52	$511.87	$56,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.64 / $312.81	Professional		$258.52	$258.64	$312.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $462.16 / $462.16	Professional		$258.52	$462.16	$462.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $421.07 / $949.21	Facility		$258.64	$421.07	$949.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $263.81	Professional		$258.64	$258.64	$263.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $506.93	Facility		$258.64	$258.64	$506.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $258.64	Facility		$244.00	$244.00	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $305.00	Professional		$258.64	$258.64	$305.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $273.82 / $498.00	Professional		$169.37	$273.82	$498.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $356.92 / $518.97	Professional		$159.40	$356.92	$518.97
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $324.33	Professional		$258.64	$274.16	$324.33