Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $2,422.00 / $6,726.00	Facility		$102.82	$2,422.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $99.04 / $177.12	Professional		$52.32	$99.04	$177.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $73.37 / $105.37	Professional		$69.94	$73.37	$105.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $122.85 / $228.75	Professional		$68.48	$122.85	$228.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.77 / $146.77 / $146.77	Facility		$146.77	$146.77	$146.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Professional		$47.81	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $338.00 / $546.00	Facility		$72.12	$338.00	$546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $118.18 / $227.64	Professional		$62.87	$118.18	$227.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $105.02 / $154.69	Professional		$59.40	$105.02	$154.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $207.00 / $264.60	Professional		$5.00	$207.00	$264.60
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $140.21 / $220.83	Professional		$97.94	$140.21	$220.83