Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.90 / $169.82	Facility		$11.48	$30.90	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $23.44	Professional		$8.13	$10.96	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $10.00	Professional		$5.50	$7.59	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.85 / $21.38	Facility		$8.13	$15.85	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $25.12	Professional		$6.17	$9.55	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.51 / $17.78	Facility		$8.13	$8.51	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.30	Professional		$8.13	$8.13	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.12 / $38.90	Facility		$12.30	$25.12	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $19.05	Professional		$7.59	$14.13	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $44.67	Professional		$13.49	$17.78	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Facility		$218.78	$218.78	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $11.22 / $15.49	Facility		$7.24	$11.22	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.32 / $22.91	Professional		$5.25	$8.32	$22.91