Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $78.20 / $257.50	Facility		$26.49	$78.20	$257.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.95 / $31.90	Professional		$12.76	$20.95	$31.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.39	Professional		$14.45	$14.45	$16.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.77 / $83.32	Facility		$17.38	$30.77	$83.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.89 / $44.35	Professional		$8.91	$11.89	$44.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $24.08 / $38.53	Facility		$15.65	$24.08	$38.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $24.08	Professional		$15.65	$15.65	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $52.98 / $74.20	Facility		$23.86	$52.98	$74.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $29.32 / $36.65	Professional		$14.82	$29.32	$36.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $31.30 / $45.83	Professional		$26.31	$31.30	$45.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $277.68 / $473.56	Facility		$231.15	$277.68	$473.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.05 / $34.11	Professional		$13.24	$17.05	$34.11