Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $1,582.64 / $5,917.00	Facility		$112.21	$1,582.64	$5,917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $119.09 / $240.00	Professional		$45.50	$119.09	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $172.52 / $208.80	Professional		$83.87	$172.52	$208.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $112.87 / $220.28	Professional		$51.60	$112.87	$220.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $54.78 / $181.41	Facility		$43.91	$54.78	$181.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $131.44 / $138.41	Professional		$109.32	$131.44	$138.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $98.84 / $236.30	Professional		$42.66	$98.84	$236.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $98.34 / $142.12	Professional		$50.22	$98.34	$142.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $111.97 / $196.19	Professional		$50.22	$111.97	$196.19
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $147.84 / $273.00	Professional		$90.19	$147.84	$273.00