Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $63.26 / $111.24	Facility		$26.26	$63.26	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.28 / $62.77	Professional		$22.81	$32.28	$62.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $49.48 / $111.18	Professional		$49.48	$49.48	$111.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $43.16 / $121.41	Facility		$26.00	$43.16	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.00 / $53.72	Professional		$17.32	$26.00	$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 $19.39 / $41.55 / $104.49	Professional		$19.39	$41.55	$104.49
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 Professional Modifier Low / Median / High Price $59.65 / $59.65 / $64.92	Professional		$59.65	$59.65	$64.92
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.89 / $59.57	Professional		$21.05	$32.89	$59.57