Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $52.18 / $263.20	Facility		$15.80	$52.18	$263.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.82 / $20.74	Professional		$12.17	$14.82	$20.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $9.88	Professional		$9.88	$9.88	$9.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $21.03 / $56.95	Facility		$11.88	$21.03	$56.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $8.13 / $33.00	Professional		$6.09	$8.13	$33.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $16.46 / $26.34	Facility		$10.70	$16.46	$26.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $16.46	Professional		$10.70	$10.70	$16.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $36.21 / $51.47	Facility		$16.45	$36.21	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $20.23 / $25.30	Professional		$10.24	$20.23	$25.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.40 / $59.17	Professional		$17.98	$21.40	$59.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $292.73 / $351.62 / $430.91	Facility		$292.73	$351.62	$430.91
United Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $20.38	Facility		$14.81	$14.81	$20.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $12.03 / $29.91	Professional		$6.91	$12.03	$29.91