Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $2,404.00 / $6,915.00	Facility		$208.16	$2,404.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $194.47 / $579.51	Professional		$73.28	$194.47	$579.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $152.74 / $370.57	Professional		$71.83	$152.74	$370.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $187.01 / $409.16	Professional		$90.68	$187.01	$409.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.58 / $149.75 / $74,999.25	Facility		$130.58	$149.75	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $181.69 / $429.47	Professional		$87.79	$181.69	$429.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $198.18 / $929.00	Professional		$78.67	$198.18	$929.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $6.93 / $16.73 / $18.14	Professional	80	$6.93	$16.73	$18.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.47 / $8.36 / $9.07	Professional	AS	$3.47	$8.36	$9.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $166.90 / $318.36	Professional		$74.27	$166.90	$318.36
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,550.00 / $2,506.00	Facility		$300.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.59 / $289.56 / $490.65	Professional		$192.59	$289.56	$490.65