Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $47.39 / $112.58	Facility		$47.39	$47.39	$112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $55.42 / $73.56	Professional		$44.90	$55.42	$73.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $73.84 / $73.84	Professional		$51.53	$73.84	$73.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.79 / $139.71 / $366.23	Facility		$99.79	$139.71	$366.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $82.97 / $159.30	Professional		$52.66	$82.97	$159.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $84.82 / $184.61	Facility		$78.42	$84.82	$184.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $84.82 / $84.82	Professional		$84.82	$84.82	$84.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $61.71 / $112.88	Professional		$45.79	$61.71	$112.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $99.79 / $139.50	Professional		$75.84	$99.79	$139.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $124.74 / $127.24	Professional		$123.37	$124.74	$127.24
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $49.78 / $82.14	Professional		$33.19	$49.78	$82.14