Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $251.19	Facility		$58.88	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $95.50	Professional		$43.65	$61.66	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $93.33	Professional		$40.74	$46.77	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $117.49	Facility		$40.74	$85.11	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $120.23	Professional		$23.44	$33.11	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $97.72	Facility		$43.65	$45.71	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $67.61	Professional		$43.65	$43.65	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $204.17	Facility		$66.07	$109.65	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $102.33	Professional		$41.69	$77.62	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $128.82	Professional		$48.98	$77.62	$128.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $81.28	Facility		$39.81	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $123.03	Professional		$23.44	$40.74	$123.03