Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $112.20	Facility		$28.18	$47.86	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $67.61	Professional		$21.88	$30.20	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $46.77	Facility		$21.88	$36.31	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.90 / $58.88	Professional		$14.13	$30.90	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $102.33	Facility		$33.11	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $44.67 / $91.20	Professional		$15.49	$44.67	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $263.03	Professional		$30.20	$47.86	$263.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $70.79	Professional		$32.36	$38.90	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.20 / $33.11	Facility		$20.89	$30.20	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $75.86	Professional		$19.95	$34.67	$75.86