Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,691.53 / $7,413.10	Facility		$50.12	$2,691.53	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $120.23	Professional		$28.84	$56.23	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $97.72	Professional		$44.67	$56.23	$97.72
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 $31.62 / $52.48 / $85.11	Professional		$31.62	$52.48	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $114.82	Facility		$33.11	$40.74	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $61.66	Professional		$51.29	$56.23	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $107.15	Professional		$26.92	$50.12	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $63.10 / $81.28	Professional		$26.92	$63.10	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $83.18	Professional		$37.15	$72.44	$83.18
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 $30.90 / $56.23 / $102.33	Professional		$30.90	$56.23	$102.33