Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $1,791.00 / $6,519.00	Facility		$142.59	$1,791.00	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $120.04 / $289.02	Professional		$39.27	$120.04	$289.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $57.70 / $255.77	Professional		$33.63	$57.70	$255.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,460.87 / $5,778.53	Facility		$759.49	$2,460.87	$5,778.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $121.91 / $273.16	Professional		$45.64	$121.91	$273.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $71.51 / $83.93	Facility		$60.78	$71.51	$83.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $9,723.00 / $11,644.00	Facility		$59.84	$9,723.00	$11,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $125.38 / $273.94	Professional		$48.27	$125.38	$273.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $135.06 / $349.57	Professional		$40.64	$135.06	$349.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $111.11 / $218.35	Professional		$33.70	$111.11	$218.35
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,902.00 / $6,000.00	Facility		$353.00	$1,902.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $161.13 / $297.60	Professional		$117.94	$161.13	$297.60