Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $23,492.95 / $69,873.77	Facility		$183.41	$23,492.95	$69,873.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $221.93	Professional		$183.41	$183.48	$221.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $200.00 / $200.00	Professional		$180.21	$200.00	$200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $293.57 / $673.37	Facility		$183.48	$293.57	$673.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $187.14	Professional		$183.48	$183.48	$187.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $293.57	Facility		$183.48	$183.48	$293.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $293.57	Professional		$183.41	$183.48	$293.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $173.09 / $183.48	Facility		$173.09	$173.09	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $217.31	Professional		$183.48	$183.48	$217.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $198.06 / $397.00	Professional		$155.18	$198.06	$397.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $253.20 / $368.16	Professional		$183.48	$253.20	$368.16
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $190.82 / $229.35	Professional		$183.48	$190.82	$229.35