Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $68.91 / $278.80	Facility		$21.07	$68.91	$278.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.34 / $36.35	Professional		$14.78	$19.34	$36.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $15.13	Professional		$13.34	$13.34	$15.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $28.40 / $76.92	Facility		$16.04	$28.40	$76.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.98 / $44.54	Professional		$8.23	$10.98	$44.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.23 / $35.57	Facility		$14.45	$22.23	$35.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $22.23	Professional		$14.45	$14.45	$22.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $48.91 / $68.95	Facility		$19.82	$48.91	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $27.26 / $34.08	Professional		$13.75	$27.26	$34.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $28.90 / $79.90	Professional		$24.29	$28.90	$79.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $170.43 / $204.73 / $241.54	Facility		$170.43	$204.73	$241.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.23 / $40.61	Professional		$11.00	$16.23	$40.61