Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.69 / $2,595.00 / $6,915.00	Facility		$95.69	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $95.69 / $237.91	Professional		$65.47	$95.69	$237.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $130.19 / $389.38	Professional		$71.58	$130.19	$389.38
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 $69.38 / $109.45 / $182.32	Professional		$69.38	$109.45	$182.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $2,500.00	Facility		$118.00	$118.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $129.78 / $229.22	Professional		$85.07	$129.78	$229.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $119.22 / $572.00	Professional		$81.80	$119.22	$572.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.91 / $162.66 / $169.67	Professional		$111.91	$162.66	$169.67
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 $83.21 / $136.59 / $240.68	Professional		$83.21	$136.59	$240.68