Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $72.75 / $228.96	Facility		$17.82	$72.75	$228.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.59 / $33.18	Professional		$12.20	$16.59	$33.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $12.65	Professional		$11.15	$11.15	$12.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $23.74 / $64.29	Facility		$13.76	$23.74	$64.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $13.76 / $37.40	Professional		$6.88	$13.76	$37.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $18.57 / $29.73	Facility		$12.08	$18.57	$29.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $18.57	Professional		$12.08	$12.08	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.88 / $58.00	Facility		$18.38	$40.88	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $21.07 / $28.40	Professional		$9.23	$21.07	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $24.15 / $66.78	Professional		$20.30	$24.15	$66.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $411.73 / $494.57 / $604.74	Facility		$411.73	$494.57	$604.74
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $14.54 / $39.02	Professional		$9.18	$14.54	$39.02