Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $119.39 / $304.16	Facility		$31.01	$119.39	$304.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $35.86 / $140.00	Professional		$31.01	$35.86	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $58.96 / $64.88	Professional		$58.96	$58.96	$64.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.88 / $208.88 / $208.88	Facility		$208.88	$208.88	$208.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $54.66 / $104.37	Professional		$32.39	$54.66	$104.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $43.22 / $60.51	Facility		$37.04	$43.22	$60.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $35.15 / $51.99	Professional		$30.87	$35.15	$51.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $53.22 / $97.41	Professional		$37.64	$53.22	$97.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $48.92 / $231.00	Professional		$37.36	$48.92	$231.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $64.70 / $89.80	Professional		$37.20	$64.70	$89.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $47.78 / $94.13	Professional		$33.65	$47.78	$94.13