Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $41.79 / $99.26	Facility		$41.79	$41.79	$99.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $52.78 / $69.90	Professional		$39.59	$52.78	$69.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $65.11	Professional		$65.11	$65.11	$65.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $123.19 / $322.92	Facility		$87.99	$123.19	$322.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $73.16 / $140.47	Professional		$46.91	$73.16	$140.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $99.72 / $162.78	Facility		$74.79	$99.72	$162.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $74.79 / $74.79	Professional		$74.79	$74.79	$74.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $62.29 / $104.34	Professional		$48.11	$62.29	$104.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $87.99 / $132.90	Professional		$66.87	$87.99	$132.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $109.99 / $112.19	Professional		$108.79	$109.99	$112.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $43.90 / $72.43	Professional		$29.26	$43.90	$72.43