Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,454.71 / $7,413.10	Facility		$104.71	$2,454.71	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $229.09	Professional		$61.66	$95.50	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Professional		$72.44	$104.71	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $3,548.13	Facility		$758.58	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $151.36	Professional		$64.57	$89.13	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $263.03	Facility		$87.10	$104.71	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $100.00	Professional		$83.18	$91.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $177.83	Professional		$60.26	$87.10	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $131.83	Professional		$77.62	$102.33	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $134.90	Professional		$97.72	$117.49	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $194.98	Professional		$69.18	$102.33	$194.98