Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $65.40 / $70,213.19	Facility		$29.98	$65.40	$70,213.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $36.29	Professional		$29.98	$30.00	$36.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.70 / $55.70	Professional		$52.47	$55.70	$55.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $48.81 / $110.03	Facility		$29.98	$48.81	$110.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $30.57	Professional		$29.98	$29.98	$30.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $48.00	Facility		$29.98	$29.98	$48.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $47.97	Professional		$29.98	$30.00	$47.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.28 / $29.98	Facility		$28.28	$28.28	$29.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $37.04	Professional		$29.98	$29.98	$37.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $37.45 / $60.00	Professional		$28.81	$37.45	$60.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $50.96 / $61.76	Professional		$28.48	$50.96	$61.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $37.59	Professional		$29.98	$29.98	$37.59