Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,548.13 / $7,762.47	Facility		$109.65	$3,548.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $147.91	Professional		$39.81	$61.66	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $79.43	Professional		$23.44	$47.86	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $8,511.38	Facility		$4,786.30	$7,413.10	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $117.49	Professional		$53.70	$83.18	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $93.33	Facility		$52.48	$61.66	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $100.00	Professional		$54.95	$54.95	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,471.29 / $11,748.98	Facility		$7,244.36	$10,471.29	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $138.04	Professional		$57.54	$87.10	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $199.53	Professional		$45.71	$53.70	$199.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $18,620.87	Facility		$6,606.93	$8,317.64	$18,620.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $3,235.94	Facility		$354.81	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $131.83	Professional		$45.71	$72.44	$131.83