Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $86.29 / $410.40	Facility		$26.12	$86.29	$410.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $23.36 / $32.03	Professional		$18.10	$23.36	$32.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $34.40 / $94.18	Facility		$19.64	$34.40	$94.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.23 / $43.59	Professional		$9.92	$13.23	$43.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $27.22 / $43.55	Facility		$17.69	$27.22	$43.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $27.22	Professional		$17.69	$17.69	$27.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $59.88 / $83.33	Facility		$27.09	$59.88	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $33.04 / $41.30	Professional		$16.50	$33.04	$41.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $35.39 / $50.96	Professional		$29.74	$35.39	$50.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $167.93 / $201.73 / $973.04	Facility		$167.93	$201.73	$973.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.66 / $37.21	Professional		$11.66	$16.66	$37.21