Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $4,592.00 / $6,915.00	Facility		$46.31	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $93.99 / $204.21	Professional		$38.93	$93.99	$204.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $187.61 / $194.29	Professional		$144.41	$187.61	$194.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $93.38 / $212.18	Professional		$47.23	$93.38	$212.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $52.74 / $172.59	Facility		$42.21	$52.74	$172.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $121.43 / $128.24	Professional		$101.05	$121.43	$128.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $85.13 / $216.86	Professional		$38.84	$85.13	$216.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $121.43 / $131.52	Professional		$48.35	$121.43	$131.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $111.16 / $181.76	Professional		$48.34	$111.16	$181.76
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 $83.11 / $124.48 / $261.91	Professional		$83.11	$124.48	$261.91