Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $52.45 / $197.40	Facility		$12.68	$52.45	$197.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $12.97 / $14.57	Professional		$11.28	$12.97	$14.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $16.10 / $44.39	Facility		$10.53	$16.10	$44.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $7.20 / $22.42	Professional		$5.40	$7.20	$22.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $14.57 / $23.31	Facility		$9.47	$14.57	$23.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $14.57	Professional		$9.47	$9.47	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $32.04 / $45.75	Facility		$14.51	$32.04	$45.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.76 / $22.20	Professional		$9.01	$17.76	$22.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.94 / $35.53	Professional		$15.92	$18.94	$35.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.36 / $1,663.61 / $2,164.00	Facility		$1,335.36	$1,663.61	$2,164.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.66 / $20.94	Professional		$6.56	$8.66	$20.94