Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $122.76 / $618.15	Facility		$27.98	$122.76	$618.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $64.92 / $88.72	Professional		$21.27	$64.92	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $32.52 / $88.06	Facility		$18.37	$32.52	$88.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.57 / $50.98	Professional		$9.42	$12.57	$50.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $25.45 / $40.72	Facility		$16.54	$25.45	$40.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.45	Professional		$16.54	$16.54	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $55.99 / $78.37	Facility		$25.48	$55.99	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $30.98 / $38.72	Professional		$15.73	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $33.09 / $91.40	Professional		$27.81	$33.09	$91.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $262.68 / $316.50	Facility		$218.68	$262.68	$316.50
United Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.58	Facility		$14.00	$14.00	$14.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $18.57 / $46.50	Professional		$10.69	$18.57	$46.50