Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $117.49 / $269.15	Facility		$48.98	$117.49	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $128.82	Professional		$48.98	$63.10	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $91.20	Professional		$29.51	$41.69	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $120.23	Facility		$45.71	$89.13	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $138.04	Professional		$34.67	$60.26	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $151.36	Facility		$85.11	$97.72	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $95.50	Professional		$85.11	$91.20	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $213.80	Facility		$66.07	$114.82	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $181.97	Professional		$35.48	$53.70	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $549.54	Professional		$63.10	$91.20	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,951.21	Facility		$1,288.25	$1,288.25	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $85.11	Facility		$58.88	$63.10	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72