Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,344.23 / $7,079.46	Facility		$446.68	$2,344.23	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $263.03	Professional		$45.71	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $204.17	Professional		$57.54	$123.03	$204.17
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 $51.29 / $114.82 / $173.78	Professional		$51.29	$114.82	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $181.97	Facility		$52.48	$66.07	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $131.83	Professional		$109.65	$120.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $234.42	Professional		$42.66	$95.50	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $173.78	Professional		$42.66	$75.86	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $154.88 / $177.83	Professional		$58.88	$154.88	$177.83
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 $50.12 / $117.49 / $239.88	Professional		$50.12	$117.49	$239.88