Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $45.67 / $526.14	Facility		$16.47	$45.67	$526.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.36 / $24.81	Professional		$9.13	$12.36	$24.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $17.54 / $47.51	Facility		$9.91	$17.54	$47.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.78 / $27.51	Professional		$5.08	$6.78	$27.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $13.73 / $21.97	Facility		$7.54	$13.73	$21.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $13.73	Professional		$8.92	$8.92	$13.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $30.21 / $42.84	Facility		$13.54	$30.21	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.93 / $21.16	Professional		$8.40	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.85 / $49.29	Professional		$15.00	$17.85	$49.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $160.43 / $228.75	Facility		$133.55	$160.43	$228.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $10.74 / $24.95	Professional		$8.05	$10.74	$24.95