Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,174.90	Facility		$1,000.00	$1,122.02	$1,174.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $389.05 / $1,096.48 / $1,380.38	Facility	25	$389.05	$1,096.48	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $194.98	Professional		$33.11	$56.23	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $91.20	Professional		$41.69	$63.10	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,511.89 / $2,754.23	Facility		$524.81	$2,511.89	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $79.43	Professional		$33.88	$46.77	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Facility		$50.12	$61.66	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $95.50	Professional		$39.81	$51.29	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $97.72	Professional		$35.48	$53.70	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $131.83	Professional		$41.69	$53.70	$131.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $95.50	Professional		$41.69	$69.18	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $77.62	Professional		$35.48	$47.86	$77.62