Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $2,987.00 / $6,915.00	Facility		$93.07	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $85.76 / $153.15	Professional		$61.04	$85.76	$153.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $75.41 / $75.41	Professional		$75.41	$75.41	$75.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $93.12 / $168.56	Professional		$67.97	$93.12	$168.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.95 / $139.68 / $252.84	Professional	50	$101.95	$139.68	$252.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $141.35 / $74,999.25	Facility		$116.25	$141.35	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $60.06 / $411.00	Facility		$48.05	$60.06	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $102.28 / $188.16	Professional		$68.16	$102.28	$188.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $111.09 / $534.04	Professional		$77.17	$111.09	$534.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $119.75 / $241.56	Professional		$98.38	$119.75	$241.56
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $100.78 / $179.88	Professional		$77.36	$100.78	$179.88