Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $2,171.00 / $6,726.00	Facility		$81.34	$2,171.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $81.34 / $166.97	Professional		$31.40	$81.34	$166.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.70 / $39.95 / $71.30	Professional	52	$15.70	$39.95	$71.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $136.57 / $136.57	Professional		$119.42	$136.57	$136.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.32 / $20.32 / $34.14	Professional	52	$20.32	$20.32	$34.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $86.66 / $173.64	Professional		$39.18	$86.66	$173.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $39.54 / $43.77	Facility		$29.06	$39.54	$43.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $90.26 / $155.44	Professional		$89.57	$90.26	$155.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $65.37 / $65.37	Facility		$65.37	$65.37	$65.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $95.54 / $185.96	Professional		$44.28	$95.54	$185.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $80.92 / $176.87	Professional		$33.42	$80.92	$176.87
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $20.87 / $20.87 / $52.83	Professional	52	$20.87	$20.87	$52.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $48.24 / $132.10	Professional		$43.28	$48.24	$132.10
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $121.89 / $195.16	Professional		$77.11	$121.89	$195.16