Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $2,572.00 / $6,915.00	Facility		$97.83	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $113.09 / $236.26	Professional		$47.76	$113.09	$236.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $84.94 / $229.90	Professional		$84.94	$84.94	$229.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,816.56 / $3,784.98	Facility		$490.00	$1,816.56	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $119.70 / $256.95	Professional		$52.75	$119.70	$256.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $44.72 / $44.72	Professional		$44.72	$44.72	$44.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $412.36 / $2,880.00	Facility		$108.00	$412.36	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $122.01 / $273.56	Professional		$57.10	$122.01	$273.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $125.76 / $212.53	Professional		$54.87	$125.76	$212.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $144.62 / $274.70	Professional		$52.61	$144.62	$274.70
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,541.00 / $3,593.00	Facility		$394.00	$1,541.00	$3,593.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $148.01 / $266.27	Professional		$101.63	$148.01	$266.27