Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $194.25 / $576.70	Facility		$17.16	$194.25	$576.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $49.03 / $78.03	Professional		$16.96	$49.03	$78.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Professional		$91.72	$91.72	$91.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $52.66 / $110.01	Professional		$18.86	$52.66	$110.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $23.53 / $29.73	Facility		$18.48	$23.53	$29.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $86.91 / $110.82	Professional		$67.94	$86.91	$110.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $66.98 / $137.08	Professional		$21.23	$66.98	$137.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $75.02 / $166.36	Professional		$19.03	$75.02	$166.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $173.20 / $173.20	Professional		$133.88	$173.20	$173.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $86.10 / $155.19	Professional		$61.01	$86.10	$155.19