Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $179.10 / $186.62	Facility		$73.55	$179.10	$186.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $72.33 / $156.57	Professional		$54.22	$72.33	$156.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $86.07 / $122.93	Professional		$64.54	$86.07	$122.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $595.00 / $700.00	Facility		$400.00	$595.00	$700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $93.85 / $165.81	Professional		$61.38	$93.85	$165.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $92.69 / $109.53	Facility		$68.20	$92.69	$109.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $78.28 / $104.88	Professional		$65.23	$78.28	$104.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $547.00 / $1,049.00	Facility		$80.95	$547.00	$1,049.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $96.41 / $166.39	Professional		$66.26	$96.41	$166.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $88.67 / $231.48	Professional		$68.20	$88.67	$231.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $342.19 / $700.00 / $2,025.00	Facility		$342.19	$700.00	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $93.27 / $127.80	Professional		$61.39	$93.27	$127.80
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $390.00 / $900.00	Facility		$300.00	$390.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $86.25 / $139.11	Professional		$65.31	$86.25	$139.11