Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $51.29 / $549.54	Facility		$15.49	$51.29	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $27.54	Professional		$8.91	$12.02	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $19.50	Professional		$8.32	$9.55	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $23.99	Facility		$8.91	$17.38	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $28.18	Professional		$6.76	$10.47	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.91 / $19.95	Facility		$7.59	$8.91	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $27.54 / $42.66	Facility		$13.49	$27.54	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $21.38	Professional		$8.32	$16.98	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $48.98	Professional		$15.14	$19.50	$48.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $138.04	Facility		$128.82	$128.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.30 / $16.60	Facility		$8.13	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.77 / $28.84	Professional		$5.75	$9.77	$28.84