Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $28.73 / $68.26	Facility		$28.73	$28.73	$68.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $36.29 / $54.44	Professional		$28.08	$36.29	$54.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.25 / $44.77	Professional		$31.24	$31.25	$44.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $84.70 / $222.04	Facility		$60.50	$84.70	$222.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $50.31 / $96.60	Professional		$32.25	$50.31	$96.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $63.13 / $111.93	Facility		$51.43	$63.13	$111.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Professional		$51.43	$51.43	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $47.01 / $80.65	Professional		$35.76	$47.01	$80.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $60.50 / $91.17	Professional		$45.98	$60.50	$91.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $75.62 / $77.14	Professional		$74.80	$75.62	$77.14
United Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $30.19 / $59.08	Professional		$20.44	$30.19	$59.08