Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $47.86 / $138.04	Facility		$15.49	$47.86	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $24.55	Professional		$10.96	$14.13	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $23.44	Professional		$6.61	$8.51	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $25.12	Facility		$11.22	$19.95	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $23.99	Professional		$7.24	$10.23	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.22 / $25.12	Facility		$9.55	$11.22	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $16.98	Professional		$11.22	$11.22	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $53.70	Facility		$17.38	$34.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $26.30	Professional		$8.51	$20.89	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $32.36	Professional		$18.62	$19.50	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,344.23	Facility		$1,288.25	$1,288.25	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.49 / $17.78	Facility		$9.33	$15.49	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $27.54	Professional		$7.24	$10.23	$27.54