Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.18 / $3,018.00 / $5,595.00	Facility		$250.18	$3,018.00	$5,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $212.88 / $531.77	Professional		$56.10	$212.88	$531.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $50.95 / $50.95	Professional		$50.95	$50.95	$50.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $185.64 / $479.94	Professional		$73.77	$185.64	$479.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.18 / $418.18 / $418.18	Facility		$418.18	$418.18	$418.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $96.71 / $974.44	Facility		$96.71	$96.71	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $174.27 / $492.70	Professional		$71.53	$174.27	$492.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $242.78 / $446.82	Professional		$66.80	$242.78	$446.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $317.48 / $394.73	Professional		$85.32	$317.48	$394.73
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $348.01 / $513.42	Professional		$207.01	$348.01	$513.42