Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $56.58 / $108.38	Facility		$22.74	$56.58	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $28.39 / $41.03	Professional		$22.74	$28.39	$41.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $43.04 / $118.30	Facility		$24.68	$43.04	$118.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $15.58 / $61.71	Professional		$11.68	$15.58	$61.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $34.19 / $54.70	Facility		$22.22	$34.19	$54.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $34.19	Professional		$22.22	$22.22	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $75.22 / $98.86	Facility		$38.21	$75.22	$98.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $41.71 / $52.14	Professional		$19.39	$41.71	$52.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $44.45 / $190.89	Professional		$37.36	$44.45	$190.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $121.21 / $121.21 / $121.21	Facility		$121.21	$121.21	$121.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $24.68 / $70.41	Professional		$18.51	$24.68	$70.41