Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $218.88 / $610.50	Facility		$49.00	$218.88	$610.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $39.06 / $71.44	Professional		$33.34	$39.06	$71.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $28.58 / $32.42	Professional		$28.58	$28.58	$32.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $60.85 / $164.80	Facility		$34.38	$60.85	$164.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $23.52 / $96.36	Professional		$17.64	$23.52	$96.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $47.63 / $76.20	Facility		$29.90	$47.63	$76.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $30.96 / $47.63	Professional		$30.96	$30.96	$47.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $104.79 / $147.35	Facility		$47.41	$104.79	$147.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $58.23 / $72.79	Professional		$30.09	$58.23	$72.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $61.92 / $171.11	Professional		$52.05	$61.92	$171.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $497.50 / $616.41	Facility		$414.17	$497.50	$616.41
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $34.77 / $66.54	Professional		$26.20	$34.77	$66.54