Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $233.19 / $629.46	Facility		$52.88	$233.19	$629.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.40 / $93.14	Professional		$25.70	$39.40	$93.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $60.40 / $60.40	Professional		$60.40	$60.40	$60.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $54.73 / $148.22	Facility		$30.92	$54.73	$148.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $91.06	Professional		$21.15	$21.15	$91.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $59.98 / $92.11	Facility		$42.84	$59.98	$92.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $51.41 / $55.69	Professional		$42.84	$51.41	$55.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $69.63 / $131.66	Facility		$42.57	$69.63	$131.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $57.64 / $117.24	Professional		$21.38	$57.64	$117.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $60.83 / $334.50	Professional		$42.84	$60.83	$334.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $403.12 / $484.21 / $597.44	Facility		$403.12	$484.21	$597.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $53.55 / $79.25	Professional		$51.84	$53.55	$79.25
United Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $38.56 / $38.56	Facility		$38.56	$38.56	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.73 / $78.40	Professional		$17.98	$31.73	$78.40