Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $1,695.50 / $6,726.00	Facility		$136.72	$1,695.50	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $132.69 / $230.58	Professional		$61.98	$132.69	$230.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $113.44	Professional		$64.15	$64.15	$113.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $105.78 / $192.49	Professional		$62.71	$105.78	$192.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.06 / $158.66 / $288.73	Professional	50	$94.06	$158.66	$288.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $132.54 / $191.01	Facility		$82.83	$132.54	$191.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $657.54	Facility		$110.60	$110.60	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $158.06 / $324.54	Professional		$82.34	$158.06	$324.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $185.63 / $448.70	Professional		$79.43	$185.63	$448.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $155.15 / $286.25	Professional		$85.04	$155.15	$286.25
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $184.13 / $354.81	Professional		$119.33	$184.13	$354.81