Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $66.07 / $239.88	Facility		$16.22	$66.07	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $30.20	Professional		$9.12	$12.02	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $15.85	Professional		$5.75	$8.13	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $23.44	Facility		$8.91	$17.38	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $27.54	Professional		$6.76	$10.47	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.33 / $19.95	Facility		$8.91	$9.33	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.49	Professional		$8.91	$8.91	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $41.69	Facility		$13.49	$26.92	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $20.42	Professional		$8.32	$16.60	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $48.98	Professional		$14.79	$19.50	$48.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $1,819.70	Facility		$181.97	$181.97	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.30 / $16.22	Facility		$7.76	$12.30	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.12 / $25.12	Professional		$5.75	$9.12	$25.12