Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $436.52	Facility		$66.07	$134.90	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $134.90	Professional		$47.86	$64.57	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $104.71	Professional		$45.71	$100.00	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $104.71	Facility		$47.86	$87.10	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $91.20 / $144.54	Professional		$21.38	$91.20	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $158.49	Facility		$87.10	$102.33	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $100.00	Professional		$87.10	$95.50	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $223.87	Facility		$72.44	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.13 / $234.42	Professional		$36.31	$74.13	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $575.44	Professional		$66.07	$95.50	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Facility		$512.86	$512.86	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $154.88	Professional		$74.13	$91.20	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $75.86	Facility		$50.12	$66.07	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $100.00	Professional		$30.90	$43.65	$100.00