Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $275.42 / $1,659.59	Facility		$75.86	$275.42	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $213.80	Professional		$43.65	$91.20	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $93.33	Professional		$42.66	$75.86	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $125.89	Professional		$57.54	$89.13	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $83.18	Facility		$48.98	$58.88	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $114.82	Professional		$75.86	$97.72	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $2,511.89	Facility		$70.79	$72.44	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $169.82	Professional		$58.88	$102.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $109.65 / $331.13	Professional		$42.66	$109.65	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $194.98	Professional		$43.65	$95.50	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $158.49	Professional		$45.71	$85.11	$158.49