Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $58.50 / $372.72	Facility		$15.71	$58.50	$372.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $42.34 / $102.64	Professional		$31.37	$42.34	$102.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $48.88 / $104.23	Professional		$34.10	$48.88	$104.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $92.47 / $242.40	Facility		$66.05	$92.47	$242.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $54.92 / $105.45	Professional		$35.21	$54.92	$105.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $79.26 / $119.41	Facility		$56.14	$79.26	$119.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $80.39 / $100.49	Professional		$56.14	$80.39	$100.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $93.38	Professional		$33.36	$33.36	$93.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $66.05 / $91.55	Professional		$50.20	$66.05	$91.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $160.93 / $248.09 / $287.08	Facility		$160.93	$248.09	$287.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $86.10 / $128.80	Professional		$67.11	$86.10	$128.80
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $32.95 / $54.37	Professional		$21.97	$32.95	$54.37