Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $208.93 / $323.59	Facility		$38.02	$208.93	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $109.65	Professional		$28.18	$47.86	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $83.18	Professional		$31.62	$51.29	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $67.61	Professional		$30.20	$46.77	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $58.88	Professional		$38.90	$42.66	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $2,511.89	Facility		$48.98	$48.98	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $89.13	Professional		$32.36	$51.29	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $229.09	Professional		$28.84	$53.70	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $93.33	Professional		$28.84	$52.48	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $79.43	Professional		$28.18	$44.67	$79.43