Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $39.20 / $146.36	Facility		$18.30	$39.20	$146.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $19.37 / $24.96	Professional		$14.43	$19.37	$24.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.02 / $13.02	Professional		$11.33	$13.02	$13.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $25.29 / $75.08	Facility		$15.66	$25.29	$75.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.71 / $35.39	Professional		$8.02	$10.71	$35.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $21.70 / $34.72	Facility		$14.11	$21.70	$34.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $21.70	Professional		$14.11	$14.11	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $47.74 / $66.89	Facility		$21.61	$47.74	$66.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $26.43 / $33.04	Professional		$13.44	$26.43	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $28.21 / $59.84	Professional		$23.71	$28.21	$59.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $294.70 / $294.70	Facility		$294.70	$294.70	$294.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.70 / $38.88	Professional		$9.77	$13.70	$38.88