Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $85.01 / $150.90	Facility		$26.35	$85.01	$150.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $24.73 / $27.80	Professional		$21.68	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $35.52 / $96.19	Facility		$20.07	$35.52	$96.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.73 / $55.72	Professional		$10.29	$13.73	$55.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $27.80 / $44.48	Facility		$18.07	$27.80	$44.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $27.80	Professional		$18.07	$18.07	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $61.16 / $85.68	Facility		$27.73	$61.16	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $33.86 / $42.34	Professional		$17.11	$33.86	$42.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.14 / $99.91	Professional		$30.38	$36.14	$99.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $22.88 / $57.25	Professional		$15.29	$22.88	$57.25