Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $31.34 / $654.08	Facility		$31.34	$31.34	$654.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $40.63 / $69.95	Professional		$31.34	$40.63	$69.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $48.83 / $48.83	Professional		$48.83	$48.83	$48.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $92.39 / $242.18	Facility		$65.98	$92.39	$242.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $54.87 / $105.35	Professional		$35.18	$54.87	$105.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $67.17 / $122.08	Facility		$56.09	$67.17	$122.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $56.09 / $56.09	Professional		$56.09	$56.09	$56.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $77.66	Professional		$34.09	$34.09	$77.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $65.98 / $91.79	Professional		$50.15	$65.98	$91.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $84.14 / $138.53	Professional		$43.75	$84.14	$138.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $32.92 / $54.31	Professional		$21.95	$32.92	$54.31