Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $996.51 / $1,181.00	Facility		$57.53	$996.51	$1,181.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $386.51 / $1,091.60 / $1,394.17	Facility	25	$386.51	$1,091.60	$1,394.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $51.50 / $90.07	Professional		$33.46	$51.50	$90.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $68.88 / $152.36	Professional		$42.00	$68.88	$152.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.79 / $2,486.30 / $2,736.80	Facility		$529.79	$2,486.30	$2,736.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $48.90 / $92.97	Professional		$36.90	$48.90	$92.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $58.40 / $86.00	Facility		$48.00	$58.40	$86.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $49.10 / $93.97	Professional		$39.28	$49.10	$93.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $54.71 / $96.76	Professional		$34.60	$54.71	$96.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $57.16 / $132.62	Professional		$40.83	$57.16	$132.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $992.00 / $992.00 / $992.00	Facility		$992.00	$992.00	$992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $50.26 / $77.86	Professional		$40.43	$50.26	$77.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $48.35 / $81.34	Professional		$36.90	$48.35	$81.34