Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $331.13	Facility		$26.92	$63.10	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $52.48	Professional		$18.20	$25.12	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $20.89	Professional		$16.98	$19.50	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $48.98	Facility		$18.20	$36.31	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $57.54	Professional		$13.80	$21.38	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.05 / $40.74	Facility		$18.20	$19.05	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $85.11	Facility		$28.18	$56.23	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $42.66	Professional		$17.38	$34.67	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $100.00	Professional		$30.90	$39.81	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Facility		$602.56	$602.56	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $33.88	Facility		$16.60	$25.12	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $51.29	Professional		$11.75	$19.05	$51.29