Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $63.10 / $223.87	Facility		$23.44	$63.10	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $61.66	Professional		$25.70	$31.62	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $60.26	Facility		$22.91	$42.66	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $51.29	Professional		$17.38	$27.54	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $75.86	Facility		$41.69	$48.98	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $47.86	Professional		$41.69	$45.71	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $107.15	Facility		$34.67	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $104.71	Professional		$17.78	$40.74	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $275.42	Professional		$31.62	$45.71	$275.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,019.95	Facility		$2,398.83	$2,511.89	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $43.65	Facility		$29.51	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $63.10	Professional		$14.79	$20.89	$63.10