Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $3,199.00 / $6,915.00	Facility		$33.43	$3,199.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $39.71 / $91.67	Professional		$29.17	$39.71	$91.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $48.58 / $100.47	Professional		$37.79	$48.58	$100.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.71 / $1,949.16 / $3,851.83	Facility		$579.71	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $48.68 / $82.31	Professional		$28.25	$48.68	$82.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.37 / $73.02 / $123.46	Professional	50	$42.37	$73.02	$123.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $58.80 / $74,999.25	Facility		$49.13	$58.80	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $64.22 / $101.91	Professional		$34.52	$64.22	$101.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $44.14 / $228.92	Professional		$30.70	$44.14	$228.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $43.91 / $55.82	Professional		$24.26	$43.91	$55.82
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $59.69 / $94.86	Professional		$37.10	$59.69	$94.86