Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $58.88 / $177.83	Facility		$25.70	$58.88	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $45.71	Professional		$20.89	$28.18	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $27.54	Professional		$13.80	$19.50	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $56.23	Facility		$20.89	$41.69	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $66.07	Professional		$15.85	$24.55	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $97.72	Facility		$32.36	$63.10	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $48.98	Professional		$19.95	$38.90	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $114.82	Professional		$35.48	$45.71	$114.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Facility		$154.88	$154.88	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.84 / $39.81	Facility		$19.05	$28.84	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $58.88	Professional		$13.49	$22.39	$58.88