Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $93.10 / $296.06	Facility		$37.27	$93.10	$296.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $35.33 / $74.54	Professional		$30.59	$35.33	$74.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $52.55 / $69.20	Professional		$52.55	$52.55	$69.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $41.00 / $128.94	Facility		$24.27	$41.00	$128.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.32 / $53.72	Professional		$16.86	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $52.18 / $80.13	Facility		$37.27	$52.18	$80.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $44.72 / $48.45	Professional		$37.27	$44.72	$48.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $65.68 / $109.48	Facility		$37.09	$65.68	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $47.15 / $118.95	Professional		$18.54	$47.15	$118.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $45.70 / $291.00	Professional		$33.54	$45.70	$291.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $127.15 / $160.38	Facility		$105.86	$127.15	$160.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $52.18 / $68.95	Professional		$45.10	$52.18	$68.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $65.23	Professional		$15.65	$22.36	$65.23