Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $135.80 / $428.40	Facility		$41.13	$135.80	$428.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $38.84 / $90.96	Professional		$28.49	$38.84	$90.96
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 $666.16 / $800.19 / $847.92	Facility		$666.16	$800.19	$847.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $53.55 / $61.69	Professional		$52.69	$53.55	$61.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $31.27 / $78.27	Professional		$19.28	$31.27	$78.27