Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $112.20 / $398.11	Facility		$66.07	$112.20	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $128.82	Professional		$53.70	$72.44	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $100.00	Professional		$35.48	$41.69	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $53.70 / $95.50	Facility		$19.95	$53.70	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $61.66	Professional		$19.95	$19.95	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $151.36	Facility		$85.11	$97.72	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $95.50	Professional		$85.11	$91.20	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $154.88	Facility		$69.18	$138.04	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $100,000.00	Professional		$56.23	$70.79	$100,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $575.44	Professional		$63.10	$77.62	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $2,691.53	Facility		$660.69	$707.95	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $151.36	Professional		$67.61	$81.28	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $74.13	Facility		$43.65	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $100.00	Professional		$31.62	$48.98	$100.00