Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $664.80 / $1,166.20	Facility		$37.35	$664.80	$1,166.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.53 / $9.92 / $18.68	Facility	52	$5.53	$9.92	$18.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $37.35 / $88.28	Professional		$11.08	$37.35	$88.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.53 / $15.11 / $22.41	Professional	52	$5.53	$15.11	$22.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $50.00 / $84.67	Professional		$16.59	$50.00	$84.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $35.09 / $72.91	Professional		$12.26	$35.09	$72.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $15.48 / $18.23	Facility		$13.27	$15.48	$18.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $36.69 / $54.16	Professional		$32.20	$36.69	$54.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $41.93 / $93.49	Professional		$14.10	$41.93	$93.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $40.54 / $78.18	Professional		$13.68	$40.54	$78.18
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $9.06 / $28.04 / $33.11	Professional	52	$9.06	$28.04	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $911.77 / $1,008.32 / $1,339.78	Facility		$911.77	$1,008.32	$1,339.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $53.60 / $69.09	Professional		$18.80	$53.60	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $54.97 / $97.11	Professional		$38.74	$54.97	$97.11