Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $4,592.00 / $6,915.00	Facility		$38.50	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $42.84 / $77.59	Professional		$30.03	$42.84	$77.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $74.65	Professional		$55.09	$55.09	$74.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $46.46 / $87.22	Professional		$33.19	$46.46	$87.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.78 / $69.69 / $130.83	Professional	50	$49.78	$69.69	$130.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $69.75 / $74,999.25	Facility		$57.69	$69.75	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $53.99 / $99.89	Professional		$34.39	$53.99	$99.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $56.29 / $266.79	Professional		$38.08	$56.29	$266.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $52.69 / $69.04	Professional		$45.98	$52.69	$69.04
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 $40.75 / $52.19 / $92.12	Professional		$40.75	$52.19	$92.12