Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $43.81 / $212.80	Facility		$13.43	$43.81	$212.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.70 / $18.45	Professional		$8.94	$11.70	$18.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $8.06	Professional		$8.06	$8.06	$8.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $17.17 / $46.50	Facility		$9.69	$17.17	$46.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $6.64 / $26.91	Professional		$4.98	$6.64	$26.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $13.44 / $21.50	Facility		$8.74	$13.44	$21.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $13.44	Professional		$8.74	$8.74	$13.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $29.57 / $41.79	Facility		$13.54	$29.57	$41.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $16.52 / $20.65	Professional		$8.25	$16.52	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $17.47 / $48.27	Professional		$14.69	$17.47	$48.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $325.41 / $325.41 / $325.41	Facility		$325.41	$325.41	$325.41
United Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Facility		$12.10	$12.10	$12.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.81 / $18.77	Professional		$7.39	$9.81	$18.77