Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $53.81 / $127.81	Facility		$53.81	$53.81	$127.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $67.97 / $103.22	Professional		$41.97	$67.97	$103.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $58.51 / $113.31	Professional		$50.99	$58.51	$113.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.31 / $158.63 / $415.85	Facility		$113.31	$158.63	$415.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $94.21 / $180.88	Professional		$61.05	$94.21	$180.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $158.63 / $198.29	Facility		$96.31	$158.63	$198.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $113.31 / $158.63	Professional		$96.31	$113.31	$158.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $134.61	Professional		$51.68	$51.68	$134.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $113.31 / $157.16	Professional		$86.12	$113.31	$157.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $144.46 / $213.80	Professional		$75.12	$144.46	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $56.53 / $93.27	Professional		$37.68	$56.53	$93.27