Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,884.03 / $7,244.36	Facility		$190.55	$2,884.03	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $380.19	Professional		$95.50	$177.83	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $223.87	Professional		$70.79	$134.90	$223.87
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 $134.90 / $194.98 / $331.13	Professional		$134.90	$194.98	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $537.03	Facility		$169.82	$208.93	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $213.80	Professional		$177.83	$194.98	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $380.19	Professional		$123.03	$186.21	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $288.40	Professional		$151.36	$223.87	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $288.40	Professional		$190.55	$251.19	$288.40
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 $144.54 / $218.78 / $389.05	Professional		$144.54	$218.78	$389.05