Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $75.69 / $383.26	Facility		$35.53	$75.69	$383.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $33.58 / $50.59	Professional		$25.68	$33.58	$50.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $49.34 / $133.63	Facility		$27.88	$49.34	$133.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $19.07 / $77.40	Professional		$14.30	$19.07	$77.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $38.61 / $61.79	Facility		$25.10	$38.61	$61.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $38.61	Professional		$25.10	$25.10	$38.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $84.96 / $119.11	Facility		$38.38	$84.96	$119.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $47.08 / $58.85	Professional		$23.83	$47.08	$58.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $50.21 / $138.79	Professional		$42.20	$50.21	$138.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $483.07 / $580.28 / $717.48	Facility		$483.07	$580.28	$717.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $31.50 / $81.09	Professional		$22.67	$31.50	$81.09