Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $50.05 / $246.98	Facility		$26.07	$50.05	$246.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.27 / $48.40	Professional		$18.07	$24.27	$48.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $34.71 / $94.01	Facility		$19.61	$34.71	$94.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $13.42 / $54.43	Professional		$10.06	$13.42	$54.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $27.17 / $43.47	Facility		$17.66	$27.17	$43.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $27.17	Professional		$17.66	$17.66	$27.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $59.77 / $83.58	Facility		$27.09	$59.77	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $33.04 / $41.30	Professional		$16.80	$33.04	$41.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $35.32 / $97.60	Professional		$29.69	$35.32	$97.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $507.52 / $609.66 / $756.39	Facility		$507.52	$609.66	$756.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $21.42 / $49.64	Professional		$14.94	$21.42	$49.64