Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $84.70 / $115.20	Facility		$23.33	$84.70	$115.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $45.62 / $74.30	Professional		$23.33	$45.62	$74.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $49.48	Professional		$17.55	$17.55	$49.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $41.41 / $121.41	Facility		$22.85	$41.41	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.88 / $53.72	Professional		$17.32	$19.88	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $75.44	Facility		$35.09	$49.13	$75.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $45.62	Professional		$35.09	$42.11	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $62.10 / $108.68	Facility		$34.83	$62.10	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $42.18 / $105.92	Professional		$17.55	$42.18	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $825.46 / $826.67 / $888.27	Facility		$825.46	$826.67	$888.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.16 / $64.92	Professional		$34.14	$43.16	$64.92
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $43.86	Facility		$26.48	$26.48	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $63.76	Professional		$14.74	$21.05	$63.76