Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $50.60 / $182.00	Facility		$16.07	$50.60	$182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $13.57 / $26.98	Professional		$11.15	$13.57	$26.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $10.06	Professional		$10.06	$10.06	$10.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $21.06 / $57.99	Facility		$12.10	$21.06	$57.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $11.17 / $30.62	Professional		$5.58	$11.17	$30.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $16.76 / $26.82	Facility		$10.89	$16.76	$26.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $16.76	Professional		$10.89	$10.89	$16.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $36.86 / $51.21	Facility		$16.77	$36.86	$51.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $19.41 / $25.30	Professional		$7.61	$19.41	$25.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $21.79 / $54.16	Professional		$18.30	$21.79	$54.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $229.25 / $229.25	Facility		$229.25	$229.25	$229.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $20.68 / $25.31	Professional		$10.06	$20.68	$25.31