Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $31.46 / $74.73	Facility		$31.46	$31.46	$74.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $40.81 / $52.63	Professional		$31.46	$40.81	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $92.75 / $243.14	Facility		$66.25	$92.75	$243.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $55.09 / $105.77	Professional		$36.36	$55.09	$105.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $69.20 / $122.56	Facility		$56.31	$69.20	$122.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $94.50	Professional		$40.76	$40.76	$94.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $66.25 / $92.28	Professional		$50.35	$66.25	$92.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $89.44 / $310.38	Professional		$72.95	$89.44	$310.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $33.04 / $55.09	Professional		$22.04	$33.04	$55.09