Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $65.93 / $195.78	Facility		$24.32	$65.93	$195.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $31.82 / $57.53	Professional		$24.32	$31.82	$57.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Professional		$21.94	$21.94	$21.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $46.73 / $126.53	Facility		$26.40	$46.73	$126.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.05 / $73.27	Professional		$13.54	$18.05	$73.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $36.57 / $58.51	Facility		$24.95	$36.57	$58.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $80.45 / $112.84	Facility		$36.44	$80.45	$112.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $44.60 / $55.75	Professional		$22.61	$44.60	$55.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $47.54 / $131.38	Professional		$39.96	$47.54	$131.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $169.87 / $197.97	Facility		$141.41	$169.87	$197.97
United Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Facility		$32.90	$32.90	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $30.10 / $66.81	Professional		$20.11	$30.10	$66.81