Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.84 / $3,391.00 / $6,915.00	Facility		$88.84	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $87.16 / $189.75	Professional		$58.69	$87.16	$189.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $152.49 / $160.86	Professional		$152.49	$152.49	$160.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $114.15 / $194.23	Professional		$72.62	$114.15	$194.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $136.97 / $188.45	Facility		$114.33	$136.97	$188.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $111.58 / $2,500.00	Facility		$65.86	$111.58	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $112.76 / $188.63	Professional		$75.51	$112.76	$188.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $111.65 / $470.00	Professional		$74.80	$111.65	$470.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $120.32 / $178.43	Professional		$97.89	$120.32	$178.43
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $116.59 / $196.77	Professional		$74.55	$116.59	$196.77