Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $331.47 / $800.11	Facility		$47.78	$331.47	$800.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $24.84 / $71.37	Professional		$7.84	$24.84	$71.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $75.52 / $75.52	Professional		$17.82	$75.52	$75.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $44.23 / $52.12	Facility		$24.72	$44.23	$52.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $17.36 / $64.14	Professional		$13.02	$17.36	$64.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $32.74 / $46.82	Facility		$22.46	$32.74	$46.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $25.36 / $39.02	Professional		$22.46	$25.36	$39.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $71.65 / $107.03	Facility		$37.76	$71.65	$107.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $47.08 / $58.85	Professional		$20.48	$47.08	$58.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $57.36 / $57.36	Professional		$57.36	$57.36	$57.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $191.71 / $296.86	Facility		$87.33	$191.71	$296.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $27.53 / $61.56	Professional		$17.64	$27.53	$61.56