Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $1,850.80 / $6,915.00	Facility		$42.35	$1,850.80	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $40.14 / $73.42	Professional		$20.69	$40.14	$73.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Professional		$31.99	$31.99	$31.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $42.60 / $81.37	Professional		$17.30	$42.60	$81.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $28.18 / $33.13	Facility		$22.85	$28.18	$33.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $47.82 / $50.65	Professional		$40.56	$47.82	$50.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $23.48 / $52.83	Facility		$23.48	$23.48	$52.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $40.65 / $92.15	Professional		$11.12	$40.65	$92.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $39.11 / $90.07	Professional		$21.13	$39.11	$90.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $42.57 / $80.42	Professional		$23.71	$42.57	$80.42
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $47.21 / $85.88	Professional		$25.54	$47.21	$85.88