Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $33.13 / $82.30	Facility		$18.95	$33.13	$82.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $31.62 / $77.30	Professional		$18.95	$31.62	$77.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $52.84 / $52.84	Professional		$52.84	$52.84	$52.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $31.37 / $81.30	Professional		$18.53	$31.37	$81.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.79 / $47.05 / $121.95	Professional	50	$27.79	$47.05	$121.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $36.21 / $93.17	Facility		$30.78	$36.21	$93.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $2,500.00	Facility		$30.54	$30.54	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $47.78 / $91.93	Professional		$23.35	$47.78	$91.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $34.70 / $100.27	Professional		$20.60	$34.70	$100.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $51.23 / $51.36	Professional		$51.23	$51.23	$51.36
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $55.59 / $88.97	Professional		$28.55	$55.59	$88.97