Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $134.90 / $363.08	Facility		$46.77	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $104.71	Professional		$33.11	$40.74	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $61.66	Professional		$21.38	$29.51	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $74.13	Facility		$28.18	$54.95	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $53.70 / $100.00	Professional		$21.38	$53.70	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $91.20	Facility		$51.29	$60.26	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $57.54	Professional		$51.29	$56.23	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $131.83	Facility		$42.66	$69.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $51.29 / $117.49	Professional		$21.38	$51.29	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $331.13	Professional		$38.90	$60.26	$331.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Facility		$331.13	$331.13	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.90 / $52.48	Facility		$36.31	$38.90	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $74.13	Professional		$17.78	$30.20	$74.13