Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $123.03 / $323.59	Facility		$16.60	$123.03	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $20.89	Professional		$12.02	$15.14	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $47.86	Facility		$18.62	$23.99	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.62 / $22.91	Professional		$7.41	$18.62	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.02 / $26.92	Facility		$11.22	$12.02	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $18.62	Professional		$12.02	$12.02	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $40.74 / $57.54	Facility		$20.89	$40.74	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $22.91 / $28.18	Professional		$8.51	$22.91	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $35.48	Professional		$20.42	$21.38	$35.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,951.21	Facility		$1,288.25	$1,288.25	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.60 / $18.62	Facility		$10.23	$16.60	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $26.92	Professional		$7.76	$11.22	$26.92