Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $120.23 / $426.58	Facility		$45.71	$120.23	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $120.23	Professional		$44.67	$66.07	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $45.71	Professional		$43.65	$45.71	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $112.20	Facility		$42.66	$83.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $95.50 / $151.36	Professional		$25.70	$95.50	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $89.13	Professional		$77.62	$85.11	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $199.53	Facility		$64.57	$107.15	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $208.93	Professional		$32.36	$66.07	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $512.86	Professional		$58.88	$85.11	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $138.04	Professional		$66.07	$81.28	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $58.88 / $79.43	Facility		$53.70	$58.88	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $93.33	Professional		$27.54	$44.67	$93.33