Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $78.65 / $444.50	Facility		$34.65	$78.65	$444.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $33.47 / $50.65	Professional		$25.60	$33.47	$50.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Professional		$23.10	$23.10	$23.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $49.19 / $133.21	Facility		$27.79	$49.19	$133.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.01 / $77.13	Professional		$14.25	$19.01	$77.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $38.50 / $61.60	Facility		$25.03	$38.50	$61.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $25.03 / $38.50	Professional		$25.03	$25.03	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $84.70 / $119.11	Facility		$38.38	$84.70	$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 $42.07 / $50.05 / $138.30	Professional		$42.07	$50.05	$138.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $221.13 / $265.63 / $322.43	Facility		$221.13	$265.63	$322.43
United Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $31.69 / $69.95	Professional		$21.18	$31.69	$69.95