Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $82.02 / $164.45	Facility		$24.23	$82.02	$164.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $13.12 / $26.12	Professional		$9.05	$13.12	$26.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.05 / $10.26	Professional		$7.54	$9.05	$10.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $19.27 / $52.18	Facility		$10.89	$19.27	$52.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $8.53 / $30.20	Professional		$5.58	$8.53	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $15.08 / $24.13	Facility		$9.80	$15.08	$24.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $15.08	Professional		$9.80	$9.80	$15.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $33.18 / $47.39	Facility		$13.44	$33.18	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.59 / $23.24	Professional		$9.32	$18.59	$23.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.60 / $54.16	Professional		$16.48	$19.60	$54.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $442.79 / $531.91 / $1,906.22	Facility		$442.79	$531.91	$1,906.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $11.01 / $31.67	Professional		$6.33	$11.01	$31.67