Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $33.18 / $286.14	Facility		$18.60	$33.18	$286.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $32.42 / $67.43	Professional		$18.60	$32.42	$67.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $37.04	Professional		$37.04	$37.04	$37.04
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 $17.79 / $31.20 / $69.81	Professional		$17.79	$31.20	$69.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.68 / $46.80 / $104.71	Professional	50	$26.68	$46.80	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $36.97 / $80.45	Facility		$31.44	$36.97	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $2,500.00	Facility		$31.08	$31.08	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $45.57 / $81.34	Professional		$23.35	$45.57	$81.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $34.79 / $88.82	Professional		$21.05	$34.79	$88.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $30.69 / $50.78	Professional		$20.94	$30.69	$50.78
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 $28.07 / $51.51 / $79.48	Professional		$28.07	$51.51	$79.48