Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $28.48 / $109.98	Facility		$28.48	$28.48	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $34.85 / $48.78	Professional		$28.48	$34.85	$48.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $50.34 / $51.02	Professional		$50.34	$50.34	$51.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $84.32 / $221.04	Facility		$60.23	$84.32	$221.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $53.14 / $121.20	Professional		$32.92	$53.14	$121.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $84.32 / $108.01	Facility		$59.06	$84.32	$108.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $70.87 / $96.37	Professional		$59.06	$70.87	$96.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $71.63	Professional		$34.31	$34.31	$71.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $60.23 / $96.37	Professional		$13.18	$60.23	$96.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $124.70 / $150.30	Professional		$25.10	$124.70	$150.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $32.18 / $69.70	Professional		$21.45	$32.18	$69.70