Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $2,171.00 / $6,726.00	Facility		$44.96	$2,171.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $49.71 / $124.36	Professional		$27.09	$49.71	$124.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $62.09 / $62.09	Professional		$62.09	$62.09	$62.09
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 $33.46 / $58.63 / $114.63	Professional		$33.46	$58.63	$114.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $33.29 / $36.86	Facility		$24.49	$33.29	$36.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $53.33 / $92.63	Professional		$52.74	$53.33	$92.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $64.38 / $126.41	Professional		$31.90	$64.38	$126.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $49.30 / $169.25	Professional		$28.16	$49.30	$169.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $40.65 / $76.97	Professional		$36.74	$40.65	$76.97
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 $46.18 / $82.47 / $132.41	Professional		$46.18	$82.47	$132.41