Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $2,404.00 / $6,726.00	Facility		$63.77	$2,404.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $64.91 / $138.13	Professional		$41.48	$64.91	$138.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $102.41 / $120.34	Professional		$60.68	$102.41	$120.34
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 $44.60 / $78.30 / $134.12	Professional		$44.60	$78.30	$134.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $56.38 / $83.59	Facility		$42.91	$56.38	$83.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $70.75 / $76.19	Professional		$54.74	$70.75	$76.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $70.38 / $640.00	Facility		$43.61	$70.38	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $79.04 / $138.71	Professional		$46.57	$79.04	$138.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $71.70 / $145.71	Professional		$48.48	$71.70	$145.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $70.70 / $105.38	Professional		$43.34	$70.70	$105.38
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 $55.76 / $84.14 / $142.57	Professional		$55.76	$84.14	$142.57