Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $2,987.00 / $6,915.00	Facility		$135.37	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $129.15 / $223.55	Professional		$91.39	$129.15	$223.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $203.37 / $215.05	Professional		$118.04	$203.37	$215.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $133.94 / $234.13	Professional		$86.52	$133.94	$234.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.78 / $200.91 / $351.19	Professional	50	$129.78	$200.91	$351.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.04 / $181.50 / $74,999.25	Facility		$152.04	$181.50	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $171.99 / $285.58	Professional		$99.06	$171.99	$285.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $162.16 / $702.82	Professional		$99.08	$162.16	$702.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $149.61 / $184.33	Professional		$104.95	$149.61	$184.33
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 $121.05 / $174.75 / $273.38	Professional		$121.05	$174.75	$273.38