Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $2,572.00 / $6,915.00	Facility		$63.36	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $71.76 / $152.08	Professional		$46.86	$71.76	$152.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $59.19 / $59.19	Professional		$59.19	$59.19	$59.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $81.14 / $142.25	Professional		$54.13	$81.14	$142.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $63.73 / $163.94	Facility		$51.58	$63.73	$163.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $78.29 / $81.34	Professional		$67.56	$78.29	$81.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $66.56 / $140.82	Professional		$41.59	$66.56	$140.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $78.29 / $219.00	Professional		$58.42	$78.29	$219.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,375.00 / $4,375.00 / $4,375.00	Facility		$4,375.00	$4,375.00	$4,375.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $83.84 / $166.40	Professional		$62.54	$83.84	$166.40