Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $68.66 / $131.18	Facility		$41.38	$68.66	$131.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $75.72	Professional		$41.38	$41.38	$75.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $23.79 / $65.30	Professional		$21.72	$23.79	$65.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $44.93 / $53.06	Facility		$23.06	$44.93	$53.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.55 / $51.30	Professional		$13.24	$16.55	$51.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $60.00 / $88.92	Facility		$41.38	$60.00	$88.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $49.66 / $53.79	Professional		$41.38	$49.66	$53.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $66.00 / $116.68	Facility		$46.29	$66.00	$116.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $36.86 / $106.76	Professional		$20.41	$36.86	$106.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $62.34 / $323.64	Professional		$41.38	$62.34	$323.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,663.61 / $1,663.61 / $2,164.00	Facility		$1,663.61	$1,663.61	$2,164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $50.90 / $73.86	Professional		$40.26	$50.90	$73.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $46.10 / $63.00	Professional		$27.66	$46.10	$63.00