Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $13,815.43 / $35,395.44	Facility		$54.67	$13,815.43	$35,395.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $56.11 / $101.69	Professional		$54.67	$56.11	$101.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $101.50 / $101.50	Professional		$54.66	$101.50	$101.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $90.47 / $203.94	Facility		$55.57	$90.47	$203.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $56.68	Professional		$55.57	$55.57	$56.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $88.91	Facility		$55.57	$55.57	$88.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $88.91	Professional		$54.67	$55.57	$88.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $52.42 / $55.57	Facility		$52.42	$52.42	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $70.48	Professional		$55.57	$55.57	$70.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $66.81 / $116.00	Professional		$51.39	$66.81	$116.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $93.60 / $114.47	Professional		$52.79	$93.60	$114.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.60 / $70.45	Professional		$55.57	$58.60	$70.45