Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $20,970.98 / $32,877.00	Facility		$85.12	$20,970.98	$32,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.25 / $126.40	Professional		$85.12	$85.25	$126.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $132.36 / $150.00	Professional		$83.87	$132.36	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $138.58 / $312.39	Facility		$85.12	$138.58	$312.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $86.82	Professional		$85.12	$85.12	$86.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $136.40	Facility		$85.12	$85.12	$136.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.25 / $136.19	Professional		$85.12	$85.25	$136.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $80.30 / $85.12	Facility		$80.30	$80.30	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.07	Professional		$85.12	$85.12	$103.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $96.46 / $176.97	Professional		$73.66	$96.46	$176.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $144.69 / $175.34	Professional		$80.86	$144.69	$175.34
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $87.90 / $108.95	Professional		$85.12	$87.90	$108.95