Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $3,460.00 / $6,915.00	Facility		$137.41	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $137.41 / $231.88	Professional		$103.67	$137.41	$231.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $207.18 / $207.18	Professional		$207.18	$207.18	$207.18
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 $105.57 / $147.72 / $284.14	Professional		$105.57	$147.72	$284.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.35 / $221.59 / $426.21	Professional	50	$158.35	$221.59	$426.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.02 / $224.00 / $74,999.25	Facility		$184.02	$224.00	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $85.81 / $778.00	Facility		$68.65	$85.81	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $163.53 / $290.92	Professional		$103.33	$163.53	$290.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $170.14 / $862.99	Professional		$122.29	$170.14	$862.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $183.00 / $382.39	Professional		$152.41	$183.00	$382.39
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 $113.22 / $145.72 / $261.18	Professional		$113.22	$145.72	$261.18