Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.82 / $2,143.78	Facility		$10.47	$19.82	$2,143.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $18.82 / $41.38	Professional		$9.57	$18.82	$41.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.59 / $32.53	Professional		$16.32	$16.59	$32.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $21.49 / $38.29	Professional		$11.86	$21.49	$38.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $12.18 / $18.39	Facility		$10.57	$12.18	$18.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $23.29 / $37.47	Professional		$21.68	$23.29	$37.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $14.88 / $58.00	Facility		$6.38	$14.88	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $22.55 / $38.82	Professional		$11.82	$22.55	$38.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $19.27 / $35.26	Professional		$10.57	$19.27	$35.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.76 / $32.90	Professional		$11.88	$22.76	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $26.38 / $42.09	Professional		$17.66	$26.38	$42.09