Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $3,162.28 / $7,413.10	Facility		$114.82	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $245.47	Professional		$69.18	$123.03	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $218.78	Professional		$51.29	$104.71	$218.78
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 $72.44 / $120.23 / $208.93	Professional		$72.44	$120.23	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $138.04	Professional		$114.82	$125.89	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $239.88	Professional		$67.61	$114.82	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $181.97	Professional		$85.11	$144.54	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $186.21	Professional		$107.15	$162.18	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,238.72 / $3,467.37	Facility		$549.54	$2,238.72	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $245.47	Professional		$81.28	$131.83	$245.47