Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $173.45 / $1,571.00	Facility		$48.36	$173.45	$1,571.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $21.21 / $40.29	Professional		$9.57	$21.21	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $17.11 / $22.73	Professional		$11.17	$17.11	$22.73
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 $11.37 / $15.47 / $31.01	Professional		$11.37	$15.47	$31.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $14.21 / $18.19	Facility		$12.18	$14.21	$18.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $11.44 / $17.11	Professional		$10.15	$11.44	$17.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $30.61 / $39.35	Professional		$15.30	$30.61	$39.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $17.05 / $55.72	Professional		$12.51	$17.05	$55.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $108.87 / $393.00 / $393.00	Facility		$108.87	$393.00	$393.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.72 / $24.09	Professional		$12.02	$18.72	$24.09
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,550.00 / $2,665.00	Facility		$150.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $21.32 / $34.76	Professional		$10.44	$21.32	$34.76