Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $117.49 / $691.83	Facility		$23.99	$117.49	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $147.91	Professional		$25.70	$54.95	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $25.12	Professional		$14.79	$17.38	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $63.10	Facility		$19.95	$44.67	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $51.29	Professional		$17.38	$27.54	$51.29
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 $34.67 / $66.07 / $107.15	Facility		$34.67	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $104.71	Professional		$17.78	$40.74	$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 Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $41.69	Facility		$26.30	$31.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $48.98	Professional		$14.45	$19.50	$48.98