Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,398.83 / $6,456.54	Facility		$117.49	$2,398.83	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $234.42	Professional		$51.29	$104.71	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $141.25	Professional		$47.86	$74.13	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $177.83	Professional		$47.86	$85.11	$177.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $128.82 / $269.15	Professional	50	$72.44	$128.82	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $223.87	Facility		$67.61	$85.11	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $138.04	Professional		$114.82	$125.89	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $245.47	Professional		$47.86	$95.50	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $190.55	Professional		$63.10	$147.91	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,344.23	Facility		$1,023.29	$1,380.38	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,511.89	Facility		$309.03	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $223.87	Professional		$60.26	$107.15	$223.87