Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $7,081.10 / $9,930.24	Facility		$40.29	$7,081.10	$9,930.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $89.18	Professional		$40.29	$40.70	$89.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $73.89 / $86.93	Professional		$44.59	$73.89	$86.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $64.45 / $147.86	Facility		$40.29	$64.45	$147.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $41.09	Professional		$40.29	$40.29	$41.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $78.97	Facility		$40.29	$40.29	$78.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $34.63 / $40.29	Facility		$34.63	$34.63	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $48.48	Professional		$40.29	$40.29	$48.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $201.00	Professional		$51.84	$51.84	$201.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $64.47 / $125.40	Professional		$37.71	$64.47	$125.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $51.57	Professional		$40.29	$42.71	$51.57