Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $2,297.00 / $6,915.00	Facility		$52.56	$2,297.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $57.82 / $126.58	Professional		$24.82	$57.82	$126.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $89.44 / $107.13	Professional		$53.01	$89.44	$107.13
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 $28.15 / $58.74 / $105.43	Professional		$28.15	$58.74	$105.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $29.77 / $79.16	Facility		$23.88	$29.77	$79.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $63.47 / $66.70	Professional		$53.01	$63.47	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $49.36 / $113.14	Professional		$23.31	$49.36	$113.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $63.47 / $235.00	Professional		$27.29	$63.47	$235.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $56.22 / $95.57	Professional		$27.29	$56.22	$95.57
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 $55.78 / $81.17 / $136.90	Professional		$55.78	$81.17	$136.90