Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $44.67 / $151.36	Facility		$8.71	$44.67	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $39.81	Professional		$12.02	$16.22	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $25.70	Professional		$12.02	$12.59	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $21.88 / $30.90	Facility		$8.91	$21.88	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $14.13	Professional		$7.41	$9.12	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.30 / $26.30	Facility		$11.75	$12.30	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $18.20	Professional		$11.75	$11.75	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $54.95	Facility		$18.20	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $27.54	Professional		$11.22	$20.42	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $34.67	Professional		$19.95	$21.38	$34.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $501.19	Facility		$213.80	$213.80	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.22 / $21.88	Facility		$10.72	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.13 / $25.12	Professional		$4.37	$8.13	$25.12