Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $2,221.00 / $6,900.00	Facility		$56.69	$2,221.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $62.82 / $119.99	Professional		$50.88	$62.82	$119.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $94.94 / $113.72	Professional		$52.06	$94.94	$113.72
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 $52.70 / $76.95 / $137.32	Professional		$52.70	$76.95	$137.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $64.56 / $193.55	Facility		$50.11	$64.56	$193.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $73.02 / $77.45	Professional		$61.25	$73.02	$77.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $68.03 / $130.16	Professional		$45.50	$68.03	$130.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $73.02 / $103.03	Professional		$59.19	$73.02	$103.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $84.31 / $107.59	Professional		$55.12	$84.31	$107.59
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 $60.09 / $89.91 / $157.49	Professional		$60.09	$89.91	$157.49