Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $426.58	Facility		$39.81	$44.67	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $66.07	Professional		$19.95	$42.66	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $31.62	Professional		$18.20	$23.44	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $46.77	Professional		$21.88	$29.51	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.84 / $39.81	Facility		$18.62	$28.84	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $66.07	Professional		$22.39	$37.15	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $60.26	Professional		$19.05	$32.36	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $58.88	Professional		$24.55	$32.36	$58.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $51.29	Professional		$28.18	$39.81	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $63.10	Professional		$23.99	$39.81	$63.10