Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $56.28 / $124.80	Facility		$8.36	$56.28	$124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.30 / $14.47	Professional		$8.36	$11.30	$14.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Professional		$7.55	$7.55	$7.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $13.84 / $43.53	Facility		$5.66	$13.84	$43.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $6.21 / $14.26	Professional		$4.65	$6.21	$14.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $12.58 / $20.13	Facility		$8.18	$12.58	$20.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $12.58	Professional		$8.18	$8.18	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $27.68 / $39.22	Facility		$12.58	$27.68	$39.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $15.28 / $19.10	Professional		$7.79	$15.28	$19.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $14.47 / $18.95	Professional		$13.40	$14.47	$18.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $442.79 / $856.21 / $1,198.18	Facility		$442.79	$856.21	$1,198.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.28 / $26.42	Professional		$2.54	$5.28	$26.42