Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $331.13	Facility		$38.90	$109.65	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $74.13	Professional		$26.30	$33.11	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $29.51	Professional		$16.60	$23.99	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $66.07	Facility		$25.12	$50.12	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $64.57	Professional		$16.60	$25.12	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.30 / $57.54	Facility		$25.70	$26.30	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $38.90	Professional		$25.70	$25.70	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $66.07 / $120.23	Facility		$38.90	$66.07	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $60.26	Professional		$20.89	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $123.03	Professional		$42.66	$56.23	$123.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $7,762.47	Facility		$1,288.25	$1,288.25	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $41.69	Facility		$19.95	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $72.44	Professional		$16.60	$23.44	$72.44