Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $2,221.00 / $6,726.00	Facility		$48.44	$2,221.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $53.25 / $103.09	Professional		$28.35	$53.25	$103.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $86.38 / $98.35	Professional		$51.49	$86.38	$98.35
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 $31.25 / $55.73 / $104.21	Professional		$31.25	$55.73	$104.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $34.36 / $114.17	Facility		$27.49	$34.36	$114.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $61.30 / $64.88	Professional		$51.49	$61.30	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $49.25 / $106.04	Professional		$27.00	$49.25	$106.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $61.30 / $78.02	Professional		$31.50	$61.30	$78.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $53.22 / $91.39	Professional		$31.50	$53.22	$91.39
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 $47.79 / $73.15 / $127.64	Professional		$47.79	$73.15	$127.64