Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.71 / $3,392.00 / $5,063.00	Facility		$106.71	$3,392.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $112.33 / $235.47	Professional		$80.00	$112.33	$235.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $161.96 / $456.15	Professional		$113.37	$161.96	$456.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $118.33 / $216.03	Professional		$79.51	$118.33	$216.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $163.32 / $245.16	Facility		$135.69	$163.32	$245.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $134.08 / $640.00	Facility		$80.09	$134.08	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $151.82 / $255.22	Professional		$92.31	$151.82	$255.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $132.52 / $255.83	Professional		$93.05	$132.52	$255.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $157.30 / $182.52	Professional		$117.06	$157.30	$182.52
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 $93.15 / $151.82 / $237.56	Professional		$93.15	$151.82	$237.56