Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $91.20 / $338.84	Facility		$21.88	$91.20	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $74.13	Professional		$21.38	$31.62	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $41.69	Professional		$19.95	$27.54	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $85.11	Facility		$58.88	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $40.74	Professional		$22.39	$24.55	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $43.65	Facility		$26.30	$31.62	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $51.29	Professional		$21.38	$27.54	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $64.57	Professional		$26.92	$36.31	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $95.50	Professional		$20.89	$27.54	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $41.69 / $52.48	Professional		$22.39	$41.69	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $56.23	Professional		$23.44	$32.36	$56.23