Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $1,362.00 / $6,726.00	Facility		$97.76	$1,362.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $96.48 / $204.86	Professional		$45.90	$96.48	$204.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $161.41 / $190.58	Professional		$58.04	$161.41	$190.58
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 $57.59 / $101.35 / $197.39	Professional		$57.59	$101.35	$197.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $62.83 / $200.03	Facility		$50.58	$62.83	$200.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $121.80 / $129.38	Professional		$102.28	$121.80	$129.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $93.70 / $215.66	Professional		$51.16	$93.70	$215.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $121.80 / $159.94	Professional		$57.60	$121.80	$159.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $167.21 / $167.90	Professional		$167.21	$167.21	$167.90
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 $79.31 / $124.92 / $251.28	Professional		$79.31	$124.92	$251.28