Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $109.20 / $524.37	Facility		$43.95	$109.20	$524.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $57.83 / $126.52	Professional		$43.95	$57.83	$126.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $68.48 / $146.00	Professional		$36.76	$68.48	$146.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $129.56 / $339.62	Facility		$92.54	$129.56	$339.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $76.95 / $147.74	Professional		$49.34	$76.95	$147.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $111.05 / $152.28	Facility		$76.44	$111.05	$152.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $92.54 / $129.56	Professional		$78.66	$92.54	$129.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $56.93 / $104.25	Professional		$42.34	$56.93	$104.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $92.54 / $131.80	Professional		$70.33	$92.54	$131.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $73.34 / $73.34	Facility		$73.34	$73.34	$73.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $103.68 / $174.62	Professional		$87.91	$103.68	$174.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $46.17 / $76.16	Professional		$30.78	$46.17	$76.16