Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $107.15 / $537.03	Facility		$22.91	$107.15	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $120.23	Professional		$38.90	$58.88	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $151.36	Professional		$56.23	$75.86	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $181.97 / $281.84	Facility		$77.62	$181.97	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $134.90	Professional		$60.26	$102.33	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $151.36	Facility		$75.86	$109.65	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $112.20	Professional		$64.57	$87.10	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $117.49	Facility		$67.61	$67.61	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $91.20	Professional		$48.98	$48.98	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $138.04	Professional		$60.26	$77.62	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $123.03	Professional		$70.79	$100.00	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $77.62	Facility		$30.90	$48.98	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $89.13	Professional		$40.74	$58.88	$89.13