Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $53.76 / $264.60	Facility		$16.10	$53.76	$264.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.63 / $24.32	Professional		$11.15	$14.63	$24.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $10.06	Professional		$10.06	$10.06	$10.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $21.43 / $58.02	Facility		$12.10	$21.43	$58.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.27 / $33.61	Professional		$6.21	$8.27	$33.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $16.77 / $26.83	Facility		$10.90	$16.77	$26.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $16.77	Professional		$10.90	$10.90	$16.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $36.89 / $52.29	Facility		$16.77	$36.89	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.39 / $22.31	Professional		$10.39	$14.39	$22.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $23.81 / $60.27	Professional		$18.32	$23.81	$60.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $205.71 / $243.54	Facility		$171.25	$205.71	$243.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.61 / $20.96	Facility		$9.22	$9.61	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $12.25 / $35.22	Professional		$9.84	$12.25	$35.22