Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.38 / $2,987.00 / $6,915.00	Facility		$122.38	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $114.37 / $237.89	Professional		$83.19	$114.37	$237.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.29 / $246.29 / $246.29	Professional		$246.29	$246.29	$246.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $162.38 / $284.29	Professional		$101.70	$162.38	$284.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.35 / $198.35 / $198.35	Facility		$198.35	$198.35	$198.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.57 / $152.74 / $2,500.00	Facility		$104.57	$152.74	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $154.50 / $282.58	Professional		$98.85	$154.50	$282.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $156.05 / $378.38	Professional		$107.00	$156.05	$378.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $80.25 / $117.94	Professional		$76.70	$80.25	$117.94
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 $99.70 / $160.69 / $277.08	Professional		$99.70	$160.69	$277.08