Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $79.43 / $263.03	Facility		$16.22	$79.43	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $41.69	Professional		$10.96	$14.79	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $13.80	Professional		$7.41	$9.77	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $20.89 / $28.18	Facility		$10.72	$20.89	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $33.11	Professional		$8.13	$12.59	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.22 / $23.44	Facility		$10.72	$11.22	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $16.22	Professional		$10.72	$10.72	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $50.12	Facility		$16.22	$32.36	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $24.55	Professional		$10.00	$19.95	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $58.88	Professional		$17.78	$22.91	$58.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,348.96	Facility		$165.96	$165.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.79 / $19.95	Facility		$9.55	$14.79	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.48 / $29.51	Professional		$6.92	$11.48	$29.51