Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $134.90	Facility		$25.70	$63.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $66.07	Professional		$22.39	$30.90	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $21.88	Professional		$14.79	$17.38	$21.88
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 / $21.88 / $48.98	Professional		$17.38	$21.88	$48.98
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 $38.90 / $66.07 / $107.15	Facility		$38.90	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $104.71	Professional		$17.38	$35.48	$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 $85.11 / $85.11 / $120.23	Facility		$85.11	$85.11	$120.23
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 / $54.95	Professional		$14.79	$20.89	$54.95