Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $124.11 / $543.24	Facility		$52.25	$124.11	$543.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $66.00 / $87.40	Professional		$52.25	$66.00	$87.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $81.41 / $81.41	Professional		$81.41	$81.41	$81.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $154.01 / $403.74	Facility		$110.01	$154.01	$403.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $91.48 / $175.64	Professional		$60.38	$91.48	$175.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $93.51 / $203.52	Facility		$89.96	$93.51	$203.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $93.51 / $93.51	Professional		$93.51	$93.51	$93.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $66.98 / $122.63	Professional		$49.98	$66.98	$122.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $110.01 / $159.26	Professional		$83.61	$110.01	$159.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $137.51 / $140.26	Professional		$136.01	$137.51	$140.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $54.89 / $90.55	Professional		$36.59	$54.89	$90.55