Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $38.00 / $154.80	Facility		$11.91	$38.00	$154.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $11.08 / $21.62	Professional		$8.25	$11.08	$21.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $15.85 / $42.94	Facility		$8.96	$15.85	$42.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.13 / $24.87	Professional		$4.59	$6.13	$24.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $12.41 / $19.86	Facility		$8.07	$12.41	$19.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $12.41	Professional		$8.07	$8.07	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $27.30 / $38.68	Facility		$12.25	$27.30	$38.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $15.28 / $19.10	Professional		$8.07	$15.28	$19.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $16.13 / $44.59	Professional		$13.56	$16.13	$44.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $258.76 / $310.80 / $380.21	Facility		$258.76	$310.80	$380.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $9.06 / $22.55	Professional		$5.58	$9.06	$22.55