Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $126.06 / $549.50	Facility		$59.77	$126.06	$549.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $83.89 / $175.77	Professional		$58.61	$83.89	$175.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $109.40 / $162.69	Professional		$72.66	$109.40	$162.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $87.05 / $156.22	Professional		$58.42	$87.05	$156.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $84.62 / $167.22	Facility		$61.12	$84.62	$167.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $96.53 / $103.95	Professional		$74.73	$96.53	$103.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $99.56 / $2,500.00	Facility		$69.86	$99.56	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $106.70 / $194.83	Professional		$68.72	$106.70	$194.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $102.13 / $201.41	Professional		$70.03	$102.13	$201.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $100.80 / $145.00	Professional		$58.36	$100.80	$145.00
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $114.61 / $182.98	Professional		$69.33	$114.61	$182.98