Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $2,398.83 / $7,413.10	Facility		$60.26	$2,398.83	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $50.12 / $120.23	Professional		$14.13	$50.12	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $56.23 / $125.89	Professional		$13.49	$56.23	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $91.20	Professional		$18.20	$40.74	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.54 / $61.66 / $138.04	Professional	50	$27.54	$61.66	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.88 / $57.54	Facility		$17.78	$21.88	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $74.13	Professional		$61.66	$67.61	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $41.69 / $131.83	Professional		$14.45	$41.69	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $77.62 / $134.90	Professional		$15.49	$77.62	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $87.10 / $100.00	Professional		$19.50	$87.10	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $47.86 / $109.65	Professional		$16.60	$47.86	$109.65