Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $114.82 / $229.09	Facility		$15.49	$114.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.05	Professional		$10.96	$14.13	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.39 / $44.67	Facility		$17.38	$22.39	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.38 / $20.89	Professional		$6.92	$17.38	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.59 / $25.12	Facility		$11.22	$12.59	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $17.38	Professional		$11.22	$11.22	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $57.54	Facility		$19.05	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $26.30	Professional		$7.94	$19.95	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $33.11	Professional		$19.05	$19.95	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,238.72	Facility		$1,288.25	$1,288.25	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $17.38	Facility		$9.55	$15.49	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $25.12	Professional		$7.24	$10.47	$25.12