Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $32.69 / $91.80	Facility		$14.02	$32.69	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $15.35 / $30.95	Professional		$13.47	$15.35	$30.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.65 / $12.65	Professional		$10.55	$12.65	$12.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $22.99 / $72.97	Facility		$14.01	$22.99	$72.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.44 / $33.67	Professional		$6.33	$8.44	$33.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $21.09 / $33.74	Facility		$11.38	$21.09	$33.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $21.09	Professional		$13.71	$13.71	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $46.40 / $58.31	Facility		$19.82	$46.40	$58.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $25.61 / $32.01	Professional		$9.61	$25.61	$32.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $27.42 / $55.68	Professional		$23.05	$27.42	$55.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $379.86 / $388.82 / $393.38	Facility		$379.86	$388.82	$393.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.65 / $30.80	Professional		$8.86	$12.65	$30.80