Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $233.80 / $1,571.00	Facility		$65.58	$233.80	$1,571.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $84.57 / $170.73	Professional		$46.36	$84.57	$170.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $42.17 / $49.61	Professional		$42.17	$42.17	$49.61
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 $52.16 / $74.98 / $134.79	Professional		$52.16	$74.98	$134.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $110.67 / $165.21	Facility		$91.44	$110.67	$165.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $2,500.00	Facility		$89.37	$89.37	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $92.97 / $175.45	Professional		$57.17	$92.97	$175.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $109.80 / $227.75	Professional		$63.05	$109.80	$227.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $103.91 / $173.13	Professional		$62.44	$103.91	$173.13
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 $70.37 / $107.23 / $204.15	Professional		$70.37	$107.23	$204.15