Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $34.35 / $208.94	Facility		$13.46	$34.35	$208.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.58 / $25.59	Professional		$11.93	$13.58	$25.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Professional		$11.18	$11.18	$11.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $20.32 / $64.48	Facility		$12.38	$20.32	$64.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $7.46 / $26.16	Professional		$5.59	$7.46	$26.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $18.64 / $29.82	Facility		$12.12	$18.64	$29.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $18.64	Professional		$12.12	$12.12	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $41.01 / $57.47	Facility		$17.30	$41.01	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $22.72 / $28.40	Professional		$9.69	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $24.23 / $43.25	Professional		$20.37	$24.23	$43.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $370.36 / $370.36 / $370.36	Facility		$370.36	$370.36	$370.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $18.64	Professional		$7.83	$11.18	$18.64