Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $69.54	Facility		$29.27	$29.27	$69.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $35.00 / $53.97	Professional		$27.73	$35.00	$53.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $31.83 / $31.83	Professional		$31.83	$31.83	$31.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $86.30 / $226.22	Facility		$61.64	$86.30	$226.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $51.25 / $98.40	Professional		$32.81	$51.25	$98.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $52.39 / $114.03	Facility		$50.86	$52.39	$114.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $52.39 / $52.39	Professional		$52.39	$52.39	$52.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $36.71	Facility		$34.22	$34.22	$36.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $70.88	Professional		$24.98	$34.22	$70.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $61.64 / $85.18	Professional		$46.85	$61.64	$85.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $106.88 / $116.31	Professional		$104.79	$106.88	$116.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $30.75 / $51.25	Professional		$20.50	$30.75	$51.25