Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,548.13 / $7,413.10	Facility		$165.96	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $58.88 / $199.53	Professional		$22.91	$58.88	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $81.28	Professional		$37.15	$50.12	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $48.98 / $70.79	Professional		$23.99	$48.98	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $67.61	Facility		$24.55	$30.20	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $52.48	Professional		$43.65	$47.86	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $42.66 / $95.50	Professional		$19.50	$42.66	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $69.18	Professional		$19.95	$35.48	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $70.79	Professional		$27.54	$61.66	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $52.48 / $104.71	Professional		$23.44	$52.48	$104.71