Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $48.98 / $154.88	Facility		$13.49	$48.98	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $33.88	Professional		$12.02	$14.13	$33.88
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 $12.02 / $20.42 / $26.30	Facility		$12.02	$20.42	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $25.12	Professional		$7.41	$13.49	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$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 $18.62 / $36.31 / $57.54	Facility		$18.62	$36.31	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.38 / $28.18	Professional		$8.51	$21.38	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $43.65	Professional		$20.42	$26.30	$43.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
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