Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $9,544.54 / $39,619.65	Facility		$27.86	$9,544.54	$39,619.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $78.22	Professional		$27.86	$28.14	$78.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $53.56 / $55.10	Professional		$47.06	$53.56	$55.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $44.58 / $102.25	Facility		$27.86	$44.58	$102.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $28.41	Professional		$27.86	$27.86	$28.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $46.16	Facility		$27.86	$27.86	$46.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $44.58	Professional		$27.86	$28.85	$44.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $27.86	Facility		$22.34	$22.34	$27.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $30.15	Professional		$27.86	$27.86	$30.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $152.00	Professional		$28.73	$28.73	$152.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $42.55 / $89.50	Professional		$26.47	$42.55	$89.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $35.65	Professional		$27.86	$28.85	$35.65