Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $204.17	Facility		$39.81	$64.57	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $91.20	Professional		$38.90	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $46.77	Professional		$39.81	$46.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $218.78	Facility		$39.81	$64.57	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Facility		$38.02	$38.02	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Professional		$39.81	$39.81	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $104.71	Professional		$39.81	$45.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $30.20 / $53.70	Professional		$7.94	$30.20	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $128.82	Facility		$46.77	$91.20	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $53.70	Professional		$39.81	$42.66	$53.70