Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $44.77 / $24,595.20	Facility		$28.70	$44.77	$24,595.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.29 / $34.78	Professional		$28.70	$29.29	$34.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $53.69 / $53.69	Professional		$53.69	$53.69	$53.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $46.86 / $107.49	Facility		$29.29	$46.86	$107.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.87	Professional		$29.29	$29.29	$29.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $57.41	Facility		$29.29	$29.29	$57.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $29.29	Facility		$27.63	$27.63	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $37.31	Professional		$29.29	$29.29	$37.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $33.85 / $71.00	Professional		$27.43	$33.85	$71.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $48.77 / $62.30	Professional		$27.83	$48.77	$62.30
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.89 / $37.46	Professional		$29.29	$30.89	$37.46