Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $98.95 / $179.40	Facility		$25.95	$98.95	$179.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.83 / $61.67	Professional		$22.81	$31.83	$61.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
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 $17.32 / $17.32 / $53.72	Professional		$17.32	$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 / $118.95	Professional		$17.55	$42.18	$118.95
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 $836.72 / $1,401.50 / $2,256.42	Facility		$836.72	$1,401.50	$2,256.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $35.09 / $62.64	Professional		$34.14	$35.09	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43