Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $46.49 / $264.24	Facility		$17.28	$46.49	$264.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $16.88 / $22.55	Professional		$12.50	$16.88	$22.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $24.00 / $65.01	Facility		$13.56	$24.00	$65.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $9.27 / $37.65	Professional		$6.96	$9.27	$37.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $18.79 / $30.06	Facility		$12.21	$18.79	$30.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $18.79	Professional		$12.21	$12.21	$18.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $41.34 / $58.00	Facility		$18.70	$41.34	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $22.72 / $28.40	Professional		$11.61	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $24.43 / $67.53	Professional		$20.53	$24.43	$67.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $63.54 / $65.31	Facility		$52.89	$63.54	$65.31
United Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Facility		$16.91	$16.91	$16.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.39 / $34.33	Professional		$10.33	$15.39	$34.33