Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $3,360.00 / $6,915.00	Facility		$117.01	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $111.66 / $213.23	Professional		$69.95	$111.66	$213.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $203.19 / $214.57	Professional		$102.75	$203.19	$214.57
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 $78.52 / $112.75 / $201.79	Professional		$78.52	$112.75	$201.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $163.98 / $241.35	Facility		$134.47	$163.98	$241.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $131.76 / $640.00	Facility		$110.81	$131.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $137.31 / $237.80	Professional		$89.16	$137.31	$237.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $138.68 / $612.57	Professional		$89.52	$138.68	$612.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $196.78 / $213.80	Professional		$124.03	$196.78	$213.80
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 $93.56 / $152.24 / $264.42	Professional		$93.56	$152.24	$264.42