Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $2,438.00 / $6,915.00	Facility		$58.84	$2,438.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $64.47 / $132.08	Professional		$40.20	$64.47	$132.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $92.54 / $114.43	Professional		$50.78	$92.54	$114.43
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 $43.59 / $75.73 / $126.08	Professional		$43.59	$75.73	$126.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.39 / $113.59 / $189.12	Professional	50	$65.39	$113.59	$189.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $52.50 / $78.06	Facility		$40.00	$52.50	$78.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $67.80 / $73.01	Professional		$52.36	$67.80	$73.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $65.69 / $640.00	Facility		$40.04	$65.69	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $74.98 / $130.68	Professional		$48.48	$74.98	$130.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $68.73 / $139.33	Professional		$45.00	$68.73	$139.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $65.28 / $101.17	Professional		$39.38	$65.28	$101.17
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 $49.19 / $82.32 / $128.63	Professional		$49.19	$82.32	$128.63