Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $3,630.78 / $7,413.10	Facility		$147.91	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $269.15	Professional		$72.44	$141.25	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42
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 $87.10 / $131.83 / $229.09	Professional		$87.10	$131.83	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $323.59	Facility		$100.00	$123.03	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $158.49	Professional		$131.83	$144.54	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $281.84	Professional		$77.62	$134.90	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $229.09	Professional		$83.18	$162.18	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $213.80	Professional		$112.20	$186.21	$213.80
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 $89.13 / $147.91 / $269.15	Professional		$89.13	$147.91	$269.15