Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $38.45 / $91.35	Facility		$38.45	$38.45	$91.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $48.57 / $68.61	Professional		$38.45	$48.57	$68.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Professional		$59.92	$59.92	$59.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $113.36 / $297.16	Facility		$80.97	$113.36	$297.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $67.33 / $129.27	Professional		$43.17	$67.33	$129.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $68.81 / $149.79	Facility		$64.81	$68.81	$149.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $48.26 / $88.50	Professional		$39.50	$48.26	$88.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $80.97 / $115.33	Professional		$61.54	$80.97	$115.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $101.21 / $103.24	Professional		$100.10	$101.21	$103.24
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $40.40 / $66.64	Professional		$26.93	$40.40	$66.64