Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $139.94 / $352.10	Facility		$16.60	$139.94	$352.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $45.42 / $50.86	Professional		$33.82	$45.42	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $55.95 / $175.98	Facility		$13.35	$55.95	$175.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $25.11 / $50.86	Professional		$15.16	$25.11	$50.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $50.86 / $81.38	Facility		$33.06	$50.86	$81.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $50.86	Professional		$33.06	$33.06	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $111.89 / $156.72	Facility		$50.63	$111.89	$156.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $61.95 / $77.44	Professional		$31.32	$61.95	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $58.49 / $76.63	Professional		$30.43	$58.49	$76.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $484.71 / $582.23 / $721.80	Facility		$484.71	$582.23	$721.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $17.80 / $71.05	Professional		$6.18	$17.80	$71.05