Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $51.45 / $317.10	Facility		$24.64	$51.45	$317.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $23.87 / $30.80	Professional		$17.80	$23.87	$30.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $17.85	Professional		$16.07	$16.07	$17.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $34.21 / $92.66	Facility		$19.32	$34.21	$92.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.22 / $52.54	Professional		$9.91	$13.22	$52.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $26.78 / $42.85	Facility		$17.41	$26.78	$42.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $17.41 / $26.78	Professional		$17.41	$17.41	$26.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $58.92 / $82.57	Facility		$26.77	$58.92	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $32.63 / $40.79	Professional		$16.50	$32.63	$40.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $34.81 / $93.78	Professional		$29.26	$34.81	$93.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $738.59 / $738.59 / $738.59	Facility		$738.59	$738.59	$738.59
United Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Facility		$24.10	$24.10	$24.10
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $20.39 / $46.88	Professional		$14.73	$20.39	$46.88