Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $257.04	Facility		$16.98	$34.67	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $39.81	Professional		$12.02	$16.98	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $26.92	Professional		$11.22	$13.18	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.99 / $32.36	Facility		$12.30	$23.99	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $38.02	Professional		$9.33	$14.45	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.88 / $27.54	Facility		$12.30	$12.88	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $18.62	Professional		$12.30	$12.30	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $57.54	Facility		$18.62	$37.15	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $28.18	Professional		$11.48	$22.91	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $67.61	Professional		$20.42	$26.92	$67.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $44.67 / $52.48	Facility		$38.90	$44.67	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.98 / $22.39	Facility		$10.96	$16.98	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $34.67	Professional		$7.94	$13.18	$34.67