Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $2,572.00 / $6,643.00	Facility		$55.67	$2,572.00	$6,643.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $55.67 / $121.69	Professional		$37.95	$55.67	$121.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $63.46 / $94.67	Professional		$47.89	$63.46	$94.67
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 $39.17 / $69.14 / $116.45	Professional		$39.17	$69.14	$116.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $49.56 / $73.48	Facility		$37.72	$49.56	$73.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $61.41 / $66.14	Professional		$47.50	$61.41	$66.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $61.88 / $640.00	Facility		$37.38	$61.88	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $69.89 / $121.86	Professional		$41.67	$69.89	$121.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $62.26 / $159.97	Professional		$42.61	$62.26	$159.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $62.15 / $91.50	Professional		$38.02	$62.15	$91.50
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 $46.96 / $72.89 / $119.06	Professional		$46.96	$72.89	$119.06