Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $82.71 / $154.69	Facility		$38.76	$82.71	$154.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $45.92 / $54.77	Facility		$25.66	$45.92	$54.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $16.85 / $42.13	Professional		$12.63	$16.85	$42.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $58.98 / $82.57	Facility		$27.38	$58.98	$82.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $42.13	Professional		$27.38	$27.38	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $92.69 / $92.69	Facility		$41.92	$92.69	$92.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $42.13 / $59.97	Professional		$22.33	$42.13	$59.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $59.82 / $131.00	Professional		$46.34	$59.82	$131.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,127.26 / $1,663.61 / $2,164.00	Facility		$1,127.26	$1,663.61	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $25.28 / $42.13	Professional		$18.54	$25.28	$42.13