Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $63.26 / $167.16	Facility		$23.33	$63.26	$167.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $33.27 / $53.93	Professional		$18.60	$33.27	$53.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.77 / $121.41	Facility		$22.85	$38.77	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $17.32 / $53.72	Professional		$16.45	$17.32	$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 / $128.91	Professional		$17.55	$42.18	$128.91
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 $6,450.00 / $6,450.00 / $6,450.00	Facility		$6,450.00	$6,450.00	$6,450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $59.65 / $64.92	Professional		$59.65	$59.65	$64.92
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $43.42	Facility		$31.58	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43