Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $74.26 / $160.00	Facility		$45.22	$74.26	$160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $64.65	Professional		$45.22	$45.23	$64.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $17.67 / $17.67	Professional		$17.67	$17.67	$17.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $45.13 / $53.52	Facility		$21.52	$45.13	$53.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.13 / $46.99	Professional		$10.59	$14.13	$46.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $49.46 / $69.25	Facility		$22.96	$49.46	$69.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $22.96 / $35.33	Professional		$22.96	$22.96	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $77.73 / $77.73	Facility		$35.15	$77.73	$77.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $31.12 / $50.21	Professional		$17.50	$31.12	$50.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $45.23 / $53.23	Professional		$35.33	$45.23	$53.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.42 / $338.05 / $387.61	Facility		$281.42	$338.05	$387.61
United Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Facility		$32.08	$32.08	$32.08
United Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $27.01 / $50.63	Professional		$18.95	$27.01	$50.63