Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $2,595.00 / $6,900.00	Facility		$135.31	$2,595.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $143.88 / $280.10	Professional		$81.56	$143.88	$280.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $140.00 / $258.95	Professional		$71.14	$140.00	$258.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $161.61 / $291.95	Professional		$104.95	$161.61	$291.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $125.18 / $378.70	Facility		$97.78	$125.18	$378.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $166.55 / $175.30	Professional		$139.47	$166.55	$175.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $145.35 / $293.43	Professional		$87.32	$145.35	$293.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $166.55 / $194.63	Professional		$114.75	$166.55	$194.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $166.55 / $247.83	Professional		$114.75	$166.55	$247.83
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 $132.47 / $186.34 / $346.77	Professional		$132.47	$186.34	$346.77