Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $291.89 / $707.44	Facility		$35.86	$291.89	$707.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $48.52 / $85.92	Professional		$37.46	$48.52	$85.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $73.00 / $116.99	Professional		$58.82	$73.00	$116.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $76.13 / $128.62	Professional		$39.32	$76.13	$128.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $55.29 / $76.26	Facility		$45.76	$55.29	$76.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $58.53 / $66.02	Professional		$48.28	$58.53	$66.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $104.12 / $104.12	Facility		$104.12	$104.12	$104.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $72.65 / $138.96	Professional		$48.26	$72.65	$138.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $57.83 / $273.00	Professional		$39.32	$57.83	$273.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $63.30 / $97.75	Professional		$37.31	$63.30	$97.75
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $71.44 / $110.41	Professional		$53.27	$71.44	$110.41