Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $69.18 / $138.04	Facility		$52.48	$69.18	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $128.82	Professional		$50.12	$67.61	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $165.96	Professional		$58.88	$85.11	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $426.58	Facility		$114.82	$275.42	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $154.88	Professional		$61.66	$93.33	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $181.97	Facility		$112.20	$158.49	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $169.82	Professional		$95.50	$141.25	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $199.53	Facility		$70.79	$70.79	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $91.20	Professional		$51.29	$51.29	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $158.49	Professional		$81.28	$114.82	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $245.47	Professional		$125.89	$151.36	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $75.86	Facility		$35.48	$54.95	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $109.65	Professional		$38.02	$56.23	$109.65