Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $2,595.00 / $6,915.00	Facility		$65.14	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $67.26 / $138.74	Professional		$41.99	$67.26	$138.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $110.84 / $129.60	Professional		$72.13	$110.84	$129.60
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 $50.11 / $79.69 / $136.32	Professional		$50.11	$79.69	$136.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $56.33 / $89.23	Facility		$46.62	$56.33	$89.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $76.43 / $82.31	Professional		$59.10	$76.43	$82.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $70.06 / $640.00	Facility		$52.07	$70.06	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $78.43 / $137.04	Professional		$49.11	$78.43	$137.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $77.61 / $158.69	Professional		$48.58	$77.61	$158.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $89.38 / $115.24	Professional		$56.33	$89.38	$115.24
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 $53.92 / $80.45 / $144.18	Professional		$53.92	$80.45	$144.18