Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,778.28 / $20,892.96	Facility		$81.28	$1,778.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $446.68	Facility		$81.28	$154.88	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $144.54	Professional		$66.07	$81.28	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $89.13 / $144.54	Professional		$30.20	$89.13	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $208.93	Facility		$75.86	$147.91	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $104.71	Professional		$77.62	$81.28	$104.71