Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $68.11 / $219.80	Facility		$17.78	$68.11	$219.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $16.54 / $33.56	Professional		$12.32	$16.54	$33.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $12.60	Professional		$11.11	$11.11	$12.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $23.66 / $60.85	Facility		$13.72	$23.66	$60.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $13.72 / $37.84	Professional		$6.85	$13.72	$37.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $18.52 / $29.63	Facility		$12.04	$18.52	$29.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $18.52	Professional		$12.04	$12.04	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.74 / $58.00	Facility		$18.38	$40.74	$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 $20.23 / $24.08 / $66.55	Professional		$20.23	$24.08	$66.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $440.63 / $529.28 / $647.98	Facility		$440.63	$529.28	$647.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.52 / $33.84	Professional		$8.33	$13.52	$33.84