Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $2,950.00 / $6,915.00	Facility		$117.90	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $116.03 / $228.63	Professional		$57.05	$116.03	$228.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $226.93 / $226.93	Professional		$226.93	$226.93	$226.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $90.15 / $159.28	Professional		$56.17	$90.15	$159.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $107.54 / $153.38	Facility		$66.51	$107.54	$153.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $2,500.00	Facility		$89.90	$89.90	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $138.82 / $271.56	Professional		$74.28	$138.82	$271.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $127.97 / $583.00	Professional		$60.64	$127.97	$583.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $105.67 / $198.44	Professional		$67.65	$105.67	$198.44
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $176.37 / $283.62	Professional		$97.24	$176.37	$283.62