Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $323.59	Facility		$29.51	$91.20	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $83.18	Professional		$19.95	$26.92	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $29.51	Professional		$12.59	$17.78	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $54.95	Facility		$19.50	$38.02	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $60.26	Professional		$16.60	$23.99	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.42 / $42.66	Facility		$19.05	$20.42	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $29.51	Professional		$19.05	$19.05	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $57.54 / $89.13	Facility		$29.51	$57.54	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $44.67	Professional		$18.20	$36.31	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Professional		$32.36	$41.69	$107.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $316.23	Facility		$147.91	$147.91	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $35.48	Facility		$17.38	$26.92	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $53.70	Professional		$12.30	$20.89	$53.70