Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $67.84 / $411.00	Facility		$45.23	$67.84	$411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $49.75 / $106.96	Professional		$34.15	$49.75	$106.96
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $87.50 / $87.50 / $87.50	Professional	CQ	$87.50	$87.50	$87.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $40.63 / $40.63	Professional		$40.63	$40.63	$40.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $63.42 / $116.89	Professional		$47.91	$63.42	$116.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $88.87 / $108.13	Facility		$64.43	$88.87	$108.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $69.15 / $88.38	Professional		$64.47	$69.15	$88.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $67.58 / $80.00	Facility		$60.00	$67.58	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $52.95 / $98.25	Professional		$33.44	$52.95	$98.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $82.52 / $194.00	Professional		$56.09	$82.52	$194.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $72.33 / $111.77	Professional		$47.61	$72.33	$111.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $56.69 / $91.46	Professional		$45.35	$56.69	$91.46