Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $46.75 / $220.50	Facility		$16.00	$46.75	$220.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.56 / $28.90	Professional		$10.76	$14.56	$28.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $20.67 / $55.98	Facility		$11.68	$20.67	$55.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.99 / $32.42	Professional		$5.99	$7.99	$32.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $16.18 / $25.89	Facility		$10.52	$16.18	$25.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $16.18	Professional		$10.52	$10.52	$16.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $35.60 / $50.65	Facility		$16.12	$35.60	$50.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $19.82 / $24.78	Professional		$9.93	$19.82	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $21.03 / $58.14	Professional		$17.68	$21.03	$58.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $258.81 / $310.88 / $380.99	Facility		$258.81	$310.88	$380.99
United Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $14.56 / $14.56	Facility		$14.56	$14.56	$14.56
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $12.66 / $29.40	Professional		$9.50	$12.66	$29.40