Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $5,370.32 / $9,549.93	Facility		$104.71	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $263.03	Professional		$52.48	$123.03	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $234.42	Professional		$57.54	$131.83	$234.42
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 $63.10 / $102.33 / $199.53	Professional		$63.10	$102.33	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $229.09	Facility		$67.61	$83.18	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $144.54	Professional		$120.23	$131.83	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $263.03	Professional		$53.70	$114.82	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $186.21	Professional		$53.70	$147.91	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $194.98	Professional		$75.86	$169.82	$194.98
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 $63.10 / $125.89 / $263.03	Professional		$63.10	$125.89	$263.03