Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $105.56	Facility		$44.44	$44.44	$105.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $49.85 / $62.37	Professional		$42.10	$49.85	$62.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $69.25 / $69.25	Professional		$48.32	$69.25	$69.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $131.01 / $343.44	Facility		$93.58	$131.01	$343.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $77.80 / $149.38	Professional		$49.28	$77.80	$149.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $79.54 / $173.12	Facility		$77.22	$79.54	$173.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $79.54 / $79.54	Professional		$79.54	$79.54	$79.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $64.81	Facility		$56.56	$56.56	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $108.00	Professional		$41.29	$56.56	$108.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $93.58 / $130.44	Professional		$71.12	$93.58	$130.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $123.13 / $176.58	Professional		$115.70	$123.13	$176.58
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $46.68 / $93.06	Professional		$31.12	$46.68	$93.06