Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $45.00 / $433.13	Facility		$16.59	$45.00	$433.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $21.71 / $28.69	Professional		$16.59	$21.71	$28.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $16.98	Professional		$14.97	$14.97	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $31.88 / $86.33	Facility		$18.48	$31.88	$86.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $18.48 / $50.03	Professional		$9.24	$18.48	$50.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.95 / $39.92	Facility		$16.22	$24.95	$39.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $24.95	Professional		$16.22	$16.22	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $54.89 / $77.31	Facility		$24.83	$54.89	$77.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $30.56 / $38.20	Professional		$17.73	$30.56	$38.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $32.44 / $89.69	Professional		$27.26	$32.44	$89.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $154.63 / $154.63	Facility		$154.63	$154.63	$154.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $18.23 / $45.58	Professional		$13.72	$18.23	$45.58