Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $67.61 / $316.23	Facility		$24.55	$67.61	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $134.90	Professional		$25.12	$61.66	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Professional		$67.61	$67.61	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $74.13	Professional		$26.92	$54.95	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $45.71	Facility		$25.70	$35.48	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $138.04	Professional		$30.20	$75.86	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $74.13 / $165.96	Professional		$27.54	$74.13	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $194.98 / $204.17	Professional		$46.77	$194.98	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $79.43 / $93.33	Facility		$28.84	$79.43	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $66.07 / $131.83	Professional		$26.92	$66.07	$131.83