Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,754.23 / $7,413.10	Facility		$199.53	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $63.10 / $213.80	Professional		$25.12	$63.10	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $97.72	Professional		$40.74	$64.57	$97.72
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 $28.18 / $56.23 / $83.18	Professional		$28.18	$56.23	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $79.43	Facility		$28.18	$35.48	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $63.10	Professional		$52.48	$57.54	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $50.12 / $114.82	Professional		$23.44	$50.12	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $67.61 / $234.42	Professional		$23.99	$67.61	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $74.13 / $85.11	Professional		$32.36	$74.13	$85.11
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 $27.54 / $60.26 / $120.23	Professional		$27.54	$60.26	$120.23