Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $158.71 / $2,345.25	Facility		$69.17	$158.71	$2,345.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $102.81 / $228.55	Professional		$66.04	$102.81	$228.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $118.04 / $131.66	Professional		$87.52	$118.04	$131.66
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 $68.06 / $99.39 / $176.09	Professional		$68.06	$99.39	$176.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.89 / $142.91 / $206.54	Facility		$117.89	$142.91	$206.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.56 / $115.28 / $2,500.00	Facility		$88.56	$115.28	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $123.27 / $210.03	Professional		$75.58	$123.27	$210.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $118.72 / $243.30	Professional		$81.41	$118.72	$243.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $118.72 / $176.68	Professional		$72.02	$118.72	$176.68
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 $82.71 / $127.60 / $221.64	Professional		$82.71	$127.60	$221.64