Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,019.95 / $7,413.10	Facility		$446.68	$3,019.95	$7,413.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $851.14 / $851.14 / $1,445.44	Facility	52	$851.14	$851.14	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $186.21 / $478.63	Professional		$36.31	$186.21	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $257.04	Professional		$34.67	$48.98	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,548.13	Facility		$549.54	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $199.53 / $446.68	Professional		$52.48	$199.53	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $512.86 / $831.76	Facility		$147.91	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $218.78 / $436.52	Professional		$43.65	$218.78	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $275.42 / $524.81	Professional		$40.74	$275.42	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $38.90 / $223.87	Professional	52	$30.20	$38.90	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $331.13 / $645.65	Professional		$3.98	$331.13	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,230.27 / $2,344.23	Facility		$81.28	$1,230.27	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $190.55 / $416.87	Professional		$38.90	$190.55	$416.87