Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $5,370.32 / $9,549.93	Facility		$117.49	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $16.98 / $33.11	Professional		$6.03	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $23.99	Professional		$22.39	$22.39	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $34.67	Professional		$7.59	$15.14	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $25.70	Professional		$21.38	$23.44	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $57.54	Professional		$21.38	$21.38	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $23.99 / $31.62	Professional		$6.76	$23.99	$31.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $42.66	Professional		$7.94	$19.95	$42.66