Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $4,570.88 / $7,943.28	Facility		$85.11	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $239.88	Professional		$46.77	$107.15	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $199.53	Professional		$53.70	$112.20	$199.53
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 $52.48 / $87.10 / $169.82	Professional		$52.48	$87.10	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $194.98	Facility		$57.54	$72.44	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $128.82	Professional		$107.15	$117.49	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $229.09	Professional		$45.71	$95.50	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $165.96	Professional		$46.77	$128.82	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $173.78	Professional		$64.57	$151.36	$173.78
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 $53.70 / $104.71 / $218.78	Professional		$53.70	$104.71	$218.78