Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $36.19 / $85.97	Facility		$36.19	$36.19	$85.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $45.71 / $59.18	Professional		$36.04	$45.71	$59.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $106.69 / $279.69	Facility		$76.20	$106.69	$279.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $63.37 / $121.67	Professional		$41.82	$63.37	$121.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $75.58 / $140.99	Facility		$64.78	$75.58	$140.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Professional		$64.78	$64.78	$64.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $101.70	Professional		$39.81	$54.54	$101.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $76.20 / $105.87	Professional		$57.92	$76.20	$105.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $102.88 / $357.04	Professional		$83.93	$102.88	$357.04
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $38.02 / $62.72	Professional		$25.35	$38.02	$62.72