Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $436.52	Facility		$154.88	$154.88	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $229.09	Professional		$23.99	$57.54	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $58.88 / $245.47	Professional		$16.98	$58.88	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $56.23 / $114.82	Professional		$19.50	$56.23	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $47.86 / $85.11	Facility		$42.66	$47.86	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Professional		$39.81	$39.81	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.90 / $134.90	Professional		$18.62	$38.90	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $281.84	Professional		$31.62	$53.70	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $77.62	Professional		$34.67	$61.66	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $69.18	Facility		$47.86	$47.86	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $58.88 / $100.00	Professional		$23.44	$58.88	$100.00