Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $92.18 / $225.28	Facility		$33.27	$92.18	$225.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $30.59 / $62.40	Professional		$20.46	$30.59	$62.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $49.48 / $49.48	Professional		$17.55	$49.48	$49.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $40.22 / $121.41	Facility		$22.85	$40.22	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.14 / $53.72	Professional		$17.32	$19.14	$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 / $41.56 / $109.92	Professional		$17.55	$41.56	$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 $524.84 / $630.44 / $795.22	Facility		$524.84	$630.44	$795.22
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 Facility Modifier Low / Median / High Price $31.58 / $31.58 / $43.08	Facility		$31.58	$31.58	$43.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43