Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $2,987.00 / $6,915.00	Facility		$117.85	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $121.49 / $275.08	Professional		$42.16	$121.49	$275.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $112.33 / $208.55	Professional		$47.65	$112.33	$208.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $141.11 / $284.89	Professional		$49.58	$141.11	$284.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.37 / $211.66 / $427.36	Professional	50	$74.37	$211.66	$427.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $79.48 / $92.97	Facility		$67.56	$79.48	$92.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $152.18 / $283.57	Professional		$60.64	$152.18	$283.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $123.56 / $334.39	Professional		$45.02	$123.56	$334.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $115.77 / $211.83	Professional		$42.15	$115.77	$211.83
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $185.01 / $295.64	Professional		$111.70	$185.01	$295.64