Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $94.74 / $379.43	Facility		$55.10	$94.74	$379.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $82.65	Professional		$53.10	$55.10	$82.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $52.27	Professional		$6.86	$6.86	$52.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $61.30 / $61.30	Facility		$56.50	$61.30	$61.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.75 / $59.91	Professional		$56.50	$56.75	$59.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $58.08 / $113.26	Facility		$56.42	$58.08	$113.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $107.34 / $107.34	Professional		$107.34	$107.34	$107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $85.31 / $112.84	Professional		$56.42	$85.31	$112.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $661.62 / $756.14 / $794.74	Facility		$661.62	$756.14	$794.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $130.22 / $142.16	Professional		$93.02	$130.22	$142.16
United Facility/Professional Facility Modifier Low / Median / High Price $120.27 / $312.02 / $312.02	Facility		$120.27	$312.02	$312.02
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $98.88	Professional		$56.50	$56.50	$98.88