Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $149.53 / $729.27	Facility		$23.33	$149.53	$729.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $61.18 / $146.02	Professional		$23.33	$61.18	$146.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $49.48 / $65.15	Professional		$49.48	$49.48	$65.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $41.41 / $121.41	Facility		$22.85	$41.41	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.88 / $53.72	Professional		$17.27	$19.88	$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 / $105.92	Professional		$17.55	$42.18	$105.92
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 $42.46 / $49.13 / $64.92	Professional		$42.46	$49.13	$64.92
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $26.48	Facility		$26.48	$26.48	$26.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.05 / $61.43	Professional		$14.32	$21.05	$61.43