Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $5,370.32 / $9,549.93	Facility		$91.20	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $257.04	Professional		$44.67	$112.20	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $204.17	Professional		$112.20	$123.03	$204.17
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 $54.95 / $89.13 / $173.78	Professional		$54.95	$89.13	$173.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $134.90 / $263.03	Professional	50	$83.18	$134.90	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $190.55	Facility		$54.95	$67.61	$190.55
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 $44.67 / $95.50 / $234.42	Professional		$44.67	$95.50	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $131.83 / $165.96	Professional		$45.71	$131.83	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $173.78	Professional		$60.26	$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 $52.48 / $107.15 / $223.87	Professional		$52.48	$107.15	$223.87