Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $187.11 / $611.79	Facility		$34.95	$187.11	$611.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $29.64 / $44.53	Professional		$18.07	$29.64	$44.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Professional		$26.06	$26.06	$26.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $46.07 / $272.33	Facility		$23.41	$46.07	$272.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $18.29 / $53.16	Professional		$13.71	$18.29	$53.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $23.19 / $12,167.08	Facility		$6.12	$23.19	$12,167.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.70 / $30.31	Professional		$17.45	$19.70	$30.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $74.64 / $97.23	Facility		$20.76	$74.64	$97.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $36.76 / $58.57	Professional		$14.08	$36.76	$58.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $42.06 / $195.00	Professional		$38.88	$42.06	$195.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,164.00 / $2,164.00 / $2,164.00	Facility		$2,164.00	$2,164.00	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.05 / $40.83	Professional		$13.68	$20.05	$40.83