Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $5,370.32 / $9,549.93	Facility		$102.33	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $245.47	Professional		$56.23	$123.03	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$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 $61.66 / $100.00 / $190.55	Professional		$61.66	$100.00	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $239.88	Facility		$70.79	$89.13	$239.88
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 $56.23 / $109.65 / $257.04	Professional		$56.23	$109.65	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $147.91 / $190.55	Professional		$57.54	$147.91	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $194.98	Professional		$79.43	$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 $66.07 / $123.03 / $245.47	Professional		$66.07	$123.03	$245.47