Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $110.23 / $393.43	Facility		$70.29	$110.23	$393.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $73.48 / $123.46	Professional		$70.29	$73.48	$123.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $100.00 / $155.36	Professional		$35.85	$100.00	$155.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $63.19 / $86.87	Facility		$27.39	$63.19	$86.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $93.49	Professional		$19.78	$19.78	$93.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $101.92 / $151.08	Facility		$70.29	$101.92	$151.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $84.35 / $91.38	Professional		$70.29	$84.35	$91.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $110.57 / $154.63	Facility		$66.00	$110.57	$154.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $173.37 / $99,999.77	Professional		$55.99	$173.37	$99,999.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $80.83 / $573.88	Professional		$63.26	$80.83	$573.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $333.45 / $663.18 / $781.85	Facility		$333.45	$663.18	$781.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $86.46 / $125.47	Professional		$68.39	$86.46	$125.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $49.06 / $127.72	Professional		$34.34	$49.06	$127.72