Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $124.02 / $406.70	Facility		$61.98	$124.02	$406.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $54.02 / $74.14	Professional		$49.58	$54.02	$74.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $37.19	Professional		$37.19	$37.19	$37.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $79.19 / $214.45	Facility		$44.74	$79.19	$214.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $30.61 / $121.23	Professional		$22.95	$30.61	$121.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $61.98 / $99.17	Facility		$40.29	$61.98	$99.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $61.98	Professional		$40.29	$40.29	$61.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $136.36 / $191.21	Facility		$60.69	$136.36	$191.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $75.58 / $94.48	Professional		$38.19	$75.58	$94.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $80.56 / $99.53	Professional		$67.73	$80.56	$99.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $163.15 / $195.97 / $234.59	Facility		$163.15	$195.97	$234.59
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $45.25 / $113.24	Professional		$34.09	$45.25	$113.24