Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $933.74 / $2,749.44	Facility		$20.35	$933.74	$2,749.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $34.21	Professional		$20.35	$20.55	$34.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $52.49 / $52.49	Professional		$29.68	$52.49	$52.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $32.56 / $74.68	Facility		$20.35	$32.56	$74.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $22.99	Professional		$20.35	$20.35	$22.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $39.89	Facility		$20.35	$20.35	$39.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $20.35	Facility		$19.20	$19.20	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $46.35	Professional		$20.35	$20.35	$46.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $76.48 / $98.94	Professional		$46.35	$76.48	$98.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $38.79 / $48.29	Professional		$21.57	$38.79	$48.29
United Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $70.40 / $70.40	Facility		$27.14	$70.40	$70.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $27.09	Professional		$20.35	$21.57	$27.09