Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.27 / $102.54 / $498.02	Facility		$41.27	$102.54	$498.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $45.47 / $69.05	Professional		$36.81	$45.47	$69.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $62.15 / $64.31	Professional		$44.89	$62.15	$64.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $121.66 / $318.92	Facility		$86.90	$121.66	$318.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $72.26 / $138.74	Professional		$45.63	$72.26	$138.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $73.87 / $160.77	Facility		$64.37	$73.87	$160.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $73.87 / $73.87	Professional		$73.87	$73.87	$73.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $47.94 / $87.75	Professional		$35.76	$47.94	$87.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $86.90 / $120.92	Professional		$66.04	$86.90	$120.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $108.62 / $110.80	Professional		$107.43	$108.62	$110.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $43.36 / $72.26	Professional		$28.90	$43.36	$72.26