Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $89.08 / $328.30	Facility		$28.10	$89.08	$328.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $32.50	Professional		$18.27	$25.09	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $35.90 / $97.23	Facility		$20.28	$35.90	$97.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $13.88 / $56.29	Professional		$10.41	$13.88	$56.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $28.10 / $44.96	Facility		$18.27	$28.10	$44.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $18.27 / $28.10	Professional		$18.27	$18.27	$28.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $61.82 / $86.73	Facility		$28.06	$61.82	$86.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $34.28 / $42.85	Professional		$17.42	$34.28	$42.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $36.53 / $100.93	Professional		$30.71	$36.53	$100.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $708.60 / $708.60 / $708.60	Facility		$708.60	$708.60	$708.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.00 / $51.34	Professional		$16.48	$23.00	$51.34