Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $2,950.00 / $6,900.00	Facility		$137.06	$2,950.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $190.02 / $432.99	Professional		$129.75	$190.02	$432.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $298.10 / $315.88	Professional		$159.81	$298.10	$315.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $223.97 / $399.22	Professional		$146.79	$223.97	$399.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $177.37 / $196.37	Facility		$131.52	$177.37	$196.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $207.29 / $365.66	Professional		$204.95	$207.29	$365.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $96.01 / $96.01	Facility		$96.01	$96.01	$96.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $249.09 / $405.19	Professional		$158.97	$249.09	$405.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $197.28 / $251.85	Professional		$144.66	$197.28	$251.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $267.75 / $267.92	Professional		$267.75	$267.75	$267.92
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 $163.81 / $218.40 / $360.13	Professional		$163.81	$218.40	$360.13