Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $24.93 / $219.57	Facility		$11.78	$24.93	$219.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.72 / $24.18	Professional		$8.11	$11.72	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Professional		$8.11	$8.11	$8.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.98 / $41.25	Facility		$9.77	$15.98	$41.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.69 / $24.67	Professional		$5.01	$6.69	$24.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $13.54 / $21.66	Facility		$7.44	$13.54	$21.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $13.54	Professional		$8.80	$8.80	$13.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $29.79 / $42.49	Facility		$13.54	$29.79	$42.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.52 / $20.65	Professional		$8.40	$16.52	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.60 / $40.79	Professional		$14.80	$17.60	$40.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,258.13 / $3,258.13 / $3,258.13	Facility		$3,258.13	$3,258.13	$3,258.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $9.35 / $24.03	Professional		$6.66	$9.35	$24.03