Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $233.80 / $1,571.00	Facility		$46.50	$233.80	$1,571.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $86.32 / $190.65	Professional		$44.02	$86.32	$190.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $129.63 / $155.29	Professional		$85.45	$129.63	$155.29
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 $41.61 / $75.54 / $122.05	Professional		$41.61	$75.54	$122.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $59.97 / $128.85	Facility		$43.75	$59.97	$128.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $99.15 / $106.78	Professional		$76.40	$99.15	$106.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $2,500.00	Facility		$71.45	$71.45	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $102.77 / $170.43	Professional		$60.79	$102.77	$170.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $100.98 / $207.32	Professional		$49.28	$100.98	$207.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $83.64 / $154.72	Professional		$43.89	$83.64	$154.72
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,550.00 / $2,665.00	Facility		$353.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $118.17 / $189.06	Professional		$70.86	$118.17	$189.06