Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $331.13 / $660.69	Facility		$53.70	$331.13	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $81.28	Professional		$22.91	$28.18	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $75.86	Professional		$14.45	$22.39	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $53.70	Facility		$24.55	$44.67	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $66.07	Professional		$15.85	$24.55	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.11 / $51.29	Facility		$23.44	$33.11	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $40.74	Professional		$22.39	$26.30	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $120.23	Facility		$38.90	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $46.77 / $58.88	Professional		$18.20	$46.77	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $67.61 / $218.78	Facility		$18.62	$67.61	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $46.77	Facility		$17.78	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $61.66	Professional		$16.98	$25.12	$61.66