Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $87.05 / $212.58	Facility		$33.92	$87.05	$212.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.83 / $91.77	Professional		$22.81	$31.83	$91.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $49.48 / $60.00	Professional		$17.55	$49.48	$60.00
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 $17.59 / $42.18 / $105.92	Professional		$17.59	$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 $233.48 / $280.45 / $345.28	Facility		$233.48	$280.45	$345.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.16 / $62.64	Professional		$34.14	$43.16	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $72.26	Professional		$14.74	$21.05	$72.26