Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $396.98 / $4,662.72	Facility		$25.43	$396.98	$4,662.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $32.13 / $48.20	Professional		$24.15	$32.13	$48.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $38.29 / $39.64	Professional		$27.66	$38.29	$39.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $74.98 / $196.57	Facility		$53.56	$74.98	$196.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $44.54 / $85.52	Professional		$28.56	$44.54	$85.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $53.56 / $104.98	Facility		$45.53	$53.56	$104.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $45.53 / $45.53	Professional		$45.53	$45.53	$45.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $38.32 / $70.13	Professional		$28.59	$38.32	$70.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $53.56 / $74.48	Professional		$40.71	$53.56	$74.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.95 / $68.29	Professional		$66.20	$66.95	$68.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $26.72 / $44.09	Professional		$17.82	$26.72	$44.09