Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $78.00 / $190.86	Facility		$16.17	$78.00	$190.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.82 / $22.47	Professional		$8.82	$12.82	$22.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $10.01	Professional		$8.82	$8.82	$10.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $18.78 / $50.86	Facility		$10.61	$18.78	$50.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.26 / $29.46	Professional		$5.44	$7.26	$29.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $14.70 / $23.52	Facility		$9.56	$14.70	$23.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $14.70	Professional		$9.56	$9.56	$14.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $32.34 / $45.75	Facility		$13.11	$32.34	$45.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $17.76 / $22.20	Professional		$9.01	$17.76	$22.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $19.11 / $52.82	Professional		$16.05	$19.11	$52.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $258.43 / $310.44 / $372.98	Facility		$258.43	$310.44	$372.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.74 / $26.71	Professional		$6.17	$10.74	$26.71