Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $80.59 / $530.40	Facility		$21.99	$80.59	$530.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $31.23 / $123.14	Professional		$19.71	$31.23	$123.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $31.46 / $39.60	Professional		$20.97	$31.46	$39.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $73.91 / $193.74	Facility		$52.79	$73.91	$193.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $43.89 / $84.27	Professional		$28.15	$43.89	$84.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $63.35 / $84.46	Facility		$42.23	$63.35	$84.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $52.79 / $73.91	Professional		$44.87	$52.79	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $43.02	Facility		$29.97	$35.00	$43.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $29.97 / $58.69	Professional		$25.55	$29.97	$58.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $52.79 / $73.73	Professional		$52.79	$52.79	$73.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,432.38 / $2,432.38 / $2,432.38	Facility		$2,432.38	$2,432.38	$2,432.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $26.33 / $45.68	Professional		$18.22	$26.33	$45.68