Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $54.40 / $153.00	Facility		$19.47	$54.40	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $25.51 / $27.52	Professional		$19.47	$25.51	$27.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $32.53 / $101.31	Facility		$21.13	$32.53	$101.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $13.01 / $46.89	Professional		$9.75	$13.01	$46.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $29.28 / $46.85	Facility		$19.03	$29.28	$46.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.03 / $29.28	Professional		$19.03	$19.03	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $64.42 / $80.86	Facility		$29.35	$64.42	$80.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $35.52 / $44.40	Professional		$13.75	$35.52	$44.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $33.67 / $44.11	Professional		$32.00	$33.67	$44.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $534.86 / $534.86 / $534.86	Facility		$534.86	$534.86	$534.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $17.57 / $32.53	Professional		$13.66	$17.57	$32.53