Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $2,221.00 / $5,864.38	Facility		$77.19	$2,221.00	$5,864.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $84.09 / $170.16	Professional		$63.95	$84.09	$170.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $131.65 / $172.64	Professional		$71.31	$131.65	$172.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $102.57 / $187.05	Professional		$72.38	$102.57	$187.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $90.67 / $265.55	Facility		$70.28	$90.67	$265.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $99.43 / $105.19	Professional		$83.42	$99.43	$105.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $86.80 / $173.45	Professional		$59.69	$86.80	$173.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $99.43 / $126.55	Professional		$83.12	$99.43	$126.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $115.35 / $147.15	Professional		$77.43	$115.35	$147.15
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 $74.56 / $107.49 / $229.86	Professional		$74.56	$107.49	$229.86