Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $148.93 / $428.26	Facility		$51.67	$148.93	$428.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $42.28 / $65.30	Professional		$31.24	$42.28	$65.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $60.03 / $162.55	Facility		$33.90	$60.03	$162.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $23.20 / $94.15	Professional		$17.39	$23.20	$94.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $46.98 / $75.17	Facility		$30.54	$46.98	$75.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $46.98	Professional		$30.54	$30.54	$46.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $103.36 / $145.25	Facility		$46.76	$103.36	$145.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $57.41 / $71.76	Professional		$29.03	$57.41	$71.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $61.07 / $168.82	Professional		$51.34	$61.07	$168.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $508.91 / $627.11	Facility		$423.68	$508.91	$627.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $34.29 / $98.66	Professional		$25.84	$34.29	$98.66