Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $110.53 / $225.72	Facility		$23.33	$110.53	$225.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.28 / $40.35	Professional		$21.05	$32.28	$40.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Professional		$65.15	$65.15	$65.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $42.11 / $121.41	Facility		$25.33	$42.11	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $17.32 / $53.72	Professional		$13.86	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $75.44	Facility		$35.09	$49.13	$75.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $45.62	Professional		$35.09	$42.11	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $77.20 / $109.48	Facility		$42.29	$77.20	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $87.02	Professional		$18.45	$18.45	$87.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $152.00 / $163.54	Professional		$35.09	$152.00	$163.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.25 / $101.81 / $122.29	Facility		$87.25	$101.81	$122.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $45.97 / $62.64	Professional		$34.14	$45.97	$62.64
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $61.43	Professional		$14.74	$21.05	$61.43