Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $69.18 / $263.03	Facility		$33.11	$69.18	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $81.28	Professional		$23.99	$33.88	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $25.12	Professional		$21.88	$25.12	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $63.10	Facility		$23.99	$46.77	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $74.13	Professional		$18.20	$28.18	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $112.20	Facility		$36.31	$66.07	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $56.23	Professional		$22.39	$44.67	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $131.83	Professional		$39.81	$52.48	$131.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Facility		$120.23	$120.23	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $43.65	Facility		$21.38	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $66.07	Professional		$15.49	$25.70	$66.07