Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $75.12 / $123.28	Facility		$30.71	$75.12	$123.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $30.59 / $62.81	Professional		$19.97	$30.59	$62.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $49.48 / $65.15	Professional		$17.55	$49.48	$65.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $40.11 / $121.41	Facility		$22.85	$40.11	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.10 / $59.03	Professional		$17.32	$19.10	$59.03
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 / $66.00 / $109.48	Facility		$34.83	$66.00	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $35.09 / $109.92	Professional		$17.55	$35.09	$109.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.91 / $274.68	Professional		$31.58	$42.91	$274.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $122.29 / $154.74	Facility		$101.81	$122.29	$154.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $43.16 / $62.64	Professional		$34.14	$43.16	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $72.26	Professional		$14.74	$21.05	$72.26