Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $63.10 / $257.04	Facility		$16.98	$63.10	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $45.71	Professional		$12.30	$16.98	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.59 / $26.92	Professional		$9.55	$12.59	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.99 / $33.11	Facility		$12.30	$23.99	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $38.90	Professional		$9.33	$14.45	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.88 / $27.54	Facility		$12.30	$12.88	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $19.05	Professional		$12.30	$12.30	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $57.54	Facility		$19.05	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $28.84	Professional		$11.75	$21.88	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $67.61	Professional		$20.89	$26.92	$67.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $1,174.90	Facility		$91.20	$95.50	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $22.91	Facility		$11.22	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $34.67	Professional		$7.94	$12.59	$34.67