Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $5,063.00 / $6,915.00	Facility		$81.84	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $91.72 / $167.17	Professional		$75.23	$91.72	$167.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $142.79 / $142.79	Professional		$142.79	$142.79	$142.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $136.24 / $221.94	Professional		$83.61	$136.24	$221.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $100.83 / $100.83	Facility		$100.83	$100.83	$100.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $133.09 / $217.21	Professional		$91.01	$133.09	$217.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $105.47 / $480.00	Professional		$81.13	$105.47	$480.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $154.40 / $203.90	Professional		$92.30	$154.40	$203.90
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $120.37 / $197.25	Professional		$80.89	$120.37	$197.25