Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $183.43 / $284.23	Facility		$46.68	$183.43	$284.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $63.65 / $96.40	Professional		$46.68	$63.65	$96.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $98.98 / $130.33	Professional		$35.10	$98.98	$130.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $86.66 / $242.89	Facility		$50.66	$86.66	$242.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $36.72 / $129.99	Professional		$34.65	$36.72	$129.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $98.28 / $150.93	Facility		$70.20	$98.28	$150.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.24 / $91.26	Professional		$70.20	$84.24	$91.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $114.08 / $216.30	Facility		$66.00	$114.08	$216.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $57.75 / $209.94	Professional		$35.00	$57.75	$209.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $91.26 / $546.62	Professional		$63.18	$91.26	$546.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.17 / $2,932.00 / $3,044.63	Facility		$2,123.17	$2,932.00	$3,044.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $98.28 / $129.87	Professional		$84.94	$98.28	$129.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $122.89	Professional		$29.48	$42.12	$122.89